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

Mount Sinai Community Foundation

Organization Internal Medicine Physician · NPI 1730632043

Mount Sinai Community Foundation is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

8012 S Crandon Ave
Chicago, IL 60617-1124
Phone: (773) 356-5415
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1730632043
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Community Foundation
Authorized official Deborah Caputo — Manager · (773) 257-2905
Other names Smg South Shore
NPI enumeratedAugust 3, 2016
Last updated in NPPESAugust 3, 2016
Mailing address8012 S Crandon Ave, Chicago, IL 60617-1124

Other providers in Chicago