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MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
NPI 1104471622
Obstetrics & Gynecology - Obstetrics in Chicago, IL

Active since August 02, 2019
645 S CENTRAL AVE FL 6, CHICAGO, IL 60644(773) 854-5328(773) 854-5587 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mount Sinai Community Foundation Dba Sinai Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP (NPI 1104471622), doing business as Smg Ob On Central, is a healthcare organization registered as an obstetrics in Chicago, Illinois and active in the NPI registry since August 2019. The organization lists Deborah Caputo, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104471622
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Location Address645 S CENTRAL AVE FL 6Chicago, IL 60644-5059
Mailing Address1501 S California Ave Nr 7-130Chicago, IL 60608 · (773) 257-2905 · Fax (773) 257-1788
Phone(773) 854-5328
Fax(773) 854-5587
Organization SubpartYes
Authorized OfficialDeborah CaputoCredentialing Manager · (773) 257-2905
Enumeration DateAugust 2, 2019
✔ NPI 1104471622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
645 S CENTRAL AVE FL 6, Chicago, IL 60644
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Other Names 1

Doing Business AsSmg Ob On Central

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Sinai Community Foundation Dba Sinai Medical Group's NPI number?

The NPI number for Mount Sinai Community Foundation Dba Sinai Medical Group is 1104471622. It was assigned to this organization in the NPPES registry on August 2, 2019. The provider is doing business as SMG OB on Central.

Where is Mount Sinai Community Foundation Dba Sinai Medical Group located?

Mount Sinai Community Foundation Dba Sinai Medical Group is located at 645 S Central Ave Fl 6, Chicago, IL 60644. The listed phone number is (773) 854-5328.

What is Mount Sinai Community Foundation Dba Sinai Medical Group's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Mount Sinai Community Foundation Dba Sinai Medical Group was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.