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 provides Family Medicine Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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