Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mount Sinai Community Foundation

Organization Family Medicine Physician · NPI 1417343591

Mount Sinai Community Foundation is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2653 W Ogden Ave 2nd Fl
Chicago, IL 60608-1647
Phone: (773) 257-6840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417343591
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Community Foundation
Authorized official John Vazquez — Cmo · (773) 257-6850
Other names Smg At Sci Family Medicine
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015
Mailing address1501 S California Ave, Nr6-119, Chicago, IL 60608-1732

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