Smg Lakeside Medical Center

LBN: Mount Sinai Community Foundation
Smg Lakeside Medical Center is an health care organization with primary practice located at 2218 S. Michigan Ave Smg Lakeside Medical Center, Chicago IL 60616-2189. 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 (312) 842-2082, or through Vazquez, John E. via phone (773) 257-6850.

Contact Information

Primary practice address
2218 S. Michigan Ave Smg Lakeside Medical Center Chicago IL 60616-2189
Phone: (312) 842-2082
Fax: (312) 842-2214
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 036103785 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036059684 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036046138 Illinois

Profile Details

NPI number 1851454698
LBN Legal business name Mount Sinai Community Foundation
DBA Doing business as Smg Lakeside Medical Center
Authorized official Vazquez, John E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated May 28th, 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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