Smg Allport Medical Clinic

LBN: Mount Sinai Community Foundation
Smg Allport Medical Clinic is an health care organization with primary practice located at 1239 W 18Th St , Chicago IL 60608-3242. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mount Sinai Community Foundation can be contacted via phone (312) 738-3111, or through Vazquez, John E. via phone (773) 257-6850.

Contact Information

Primary practice address
1239 W 18Th St Chicago IL 60608-3242
Phone: (312) 738-3111
Fax: (312) 738-5211
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, John E. Doctor of Medicine (MD)
Phone: (773) 257-6850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036045400 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036086899 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036049782 Illinois

Profile Details

NPI number 1801818570
LBN Legal business name Mount Sinai Community Foundation
DBA Doing business as Smg Allport Medical Clinic
Authorized official Vazquez, John E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated May 31st, 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.

Request for update

Popular Providers