Smg Antillas Family Medical Center

LBN: Mount Sinai Community Foundation
Smg Antillas Family Medical Center is an health care organization with primary practice located at 3111 W Armitage Ave , Chicago IL 60647-3818. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mount Sinai Community Foundation can be contacted via phone (773) 394-5260, or through Vazquez, John E via phone (773) 257-6850.

Contact Information

Primary practice address
3111 W Armitage Ave Chicago IL 60647-3818
Phone: (773) 394-5260
Fax: (773) 394-5271
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, John E
Phone: (773) 257-6850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036048103 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036045280 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036055442 Illinois

Profile Details

NPI number 1144383084
LBN Legal business name Mount Sinai Community Foundation
DBA Doing business as Smg Antillas Family Medical Center
Authorized official Vazquez, John E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Jun 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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