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 1235546037

Mount Sinai Community Foundation provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

6084 S Archer Ave
Chicago, IL 60638-2747 Not confirmed with CMS for 12 years — call before visiting
Phone: (773) 767-0100
Fax: (773) 767-6960
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 number1235546037
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Community Foundation
Authorized official John Vazquez — Cmo · (773) 257-6850
Other names Smg Archer Pob 100
NPI enumeratedJuly 14, 2014
Last updated in NPPESJuly 14, 2014
Mailing address6084 S Archer Ave, Chicago, IL 60638-2747

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