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

Mount Sinai Community Foundation

Organization Family Medicine Physician · NPI 1851454698

Mount Sinai Community Foundation is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

2218 S Michigan Ave Smg Lakeside Medical Ctr
Chicago, IL 60616-2189
Phone: (312) 842-2082
Fax: (312) 842-2214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036103785 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036059684 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036046138 (IL)

Record details

NPI number1851454698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Vazquez — Cmo · (773) 257-6850
Other names Smg Lakeside Medical Center
NPI enumeratedDecember 19, 2006
Last updated in NPPESMay 28, 2013
Mailing address1501 S California Ave, Chicago, IL 60608-1732

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