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General NPI Number Information
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NPI Number | 1043681174
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Entity Type | Organization
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Legal Business Name | VHS SINAI-GRACE HOSPITAL INC
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 6071 W OUTER DR
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City | DETROIT
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State | MI
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Zip | 48235-2624
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Country | US
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Telephone | 313-966-3116
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Fax | 313-966-4301
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Provider Business Mailing Address
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Address Line | PO BOX 4079
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City | CAROL STREAM
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State | IL
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Zip | 60122-4079
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Country | US
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Telephone | 313-996-1008
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Fax | 313-966-9510
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Authorized Official
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Title or Position | CFO
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Name | GINA BUTCHER
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Credential |
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Telephone | 313-966-4265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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