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NPI Code Detail

MEDICARE: MOUNT SINAI HOSPITAL MEDICAL CENTER

MEDICARE: MOUNT SINAI HOSPITAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse

General Provider Information

NPI Number : 1669319695
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT SINAI HOSPITAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-257-2893
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : CHRISTOPHER STEPHENS
Credential :
Telephone Number : 773-257-2933
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “MOUNT SINAI HOSPITAL MEDICAL CENTER ” Practice Location

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