Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountsinai Hospital

Organization Pediatrics Physician · NPI 1083861926

Mountsinai Hospital provides Pediatrics Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

1500 S California Ave
Chicago, IL 60608-1729 Not confirmed with CMS for 18 years — call before visiting
Phone: (773) 257-6183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (IL)

Record details

NPI number1083861926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Radhika Dasaraju — Pgy-2 · (309) 660-1837
NPI enumeratedAugust 22, 2008
Last updated in NPPESAugust 22, 2008
Mailing address1500 S California Ave, Chicago, IL 60608-1729

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