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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
1282N00000XGeneral Acute Care Hospital5229IL

General Provider Information

NPI Number : 1871581314
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT SINAI HOSPITAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 26467 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1264
Country : US
Telephone Number : 773-542-2000
Fax Number : 773-257-2555
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. GARY KRUGEL
Credential :
Telephone Number : 772-257-6642
Provider Enumeration Date : 10/10/2005
Last Update Date : 04/15/2022

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Directions to “MOUNT SINAI HOSPITAL MEDICAL CENTER ” Practice Location

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