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SINAI MEDICAL GROUP
NPI 1225125677
Internal Medicine in Chicago, IL

Active since October 06, 2006
1108 S KEDZIE AVE, CHICAGO, IL 60612(773) 722-2712 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Sinai Medical Group NPPES

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

SINAI MEDICAL GROUP (NPI 1225125677) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since October 2006. The organization lists John E Vazquez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225125677
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION
Location Address1108 S KEDZIE AVEChicago, IL 60612-3935
Mailing Address3537 Paysphere CirChicago, IL 60674-0035 · (708) 786-2900
Phone(773) 722-2712
Organization SubpartNo
Authorized OfficialJohn E VazquezCeo · (773) 257-6850
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1225125677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1108 S KEDZIE AVE, Chicago, IL 60612
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Other Names 1

Doing Business AsSinai Medical Group

Other Identifiers 1

Other5783350002IL · Dme Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0960997

Sinai Medical Group/Lawndale Plaza Med · Chicago, IL
Expired · Jul 8, 2026
CLIA Number14D0960997
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorIhab Aziz MD
Laboratory Phone(773) 722-2712
Laboratory LocationSinai Medical Group/Lawndale Plaza Med1108 S Kedzie, Chicago, IL 60612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIJO JOHN DPM
Podiatrist (Foot & Ankle Surgery)
1108 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 722-2712
RICHARD TRESTER MD
Obstetrics & Gynecology
1108 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 722-2712
DR. DARRELL R LATVA DPM
Podiatrist (Foot Surgery)
1108 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 722-2712

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's NPI number?

The NPI number for Mount Sinai Community Foundation is 1225125677. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Sinai Medical Group.

Where is Mount Sinai Community Foundation located?

Mount Sinai Community Foundation is located at 1108 S Kedzie Ave, Chicago, IL 60612. The listed phone number is (773) 722-2712.

What is Mount Sinai Community Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mount Sinai Community Foundation was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.