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 provides Family Medicine Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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