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 1114381977

Mount Sinai Community Foundation provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

6449 S Pulaski Rd Ste 211
Chicago, IL 60629-5148 Not confirmed with CMS for 10 years — call before visiting
Phone: (773) 581-7300
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 number1114381977
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Community Foundation
Authorized official John Vazquez — Cmo · (773) 257-6850
Other names Smg West Lawn
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 7, 2016
Mailing address6449 S Pulaski Rd, Ste 211, Chicago, IL 60629-5148

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