Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mount Sinai Community Foundation Dba Sinai Medical Group

Organization Family Medicine Physician · NPI 1407264583

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

In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1859 S Blue Island Ave
Chicago, IL 60608-3012
Phone: (773) 738-3111
Fax: (773) 738-5211
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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
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1407264583
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Sinai Community Foundation Dba Sinai Medical Group
Authorized official Deb Caputo — Manager · (773) 257-2905
Other names Sinia Medical Group; Sinai Convenient Care
NPI enumeratedAugust 1, 2014
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address26460 Network Pl, Chicago, IL 60673-3012

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