SINAI MEDICAL GROUP - CICERO
NPI 1194168377
Clinic/Center - Multi-Specialty in Cicero, IL

NPI Status: Active since April 08, 2013

Contact Information

1611 S CICERO AVE
CICERO, IL
ZIP 60804
Phone: (708) 477-4840

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About SINAI MEDICAL GROUP - CICERO

This page provides the complete NPI Profile along with additional information for Sinai Medical Group - Cicero, a provider established in Cicero, Illinois operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1194168377 assigned on April 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Sinai Medical Group - Cicero. The authorized official of this NPI record is John E Vazquez Md (Cmo)

NPI
1194168377
Provider Legal Name
MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Other Organization Name
SINAI MEDICAL GROUP - CICERO
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1611 S CICERO AVE CICERO, IL 60804
Location Phone
(708) 477-4840
Mailing Address
3537 PAYSPHERE CIR CHICAGO, IL 60674
Mailing Phone
(708) 786-2099
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-08-2013
Last Update Date
04-08-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN E VAZQUEZ MD

Authorized Official Title
CMO
Authorized Official Phone
(773) 257-3850

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194168377
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211842616314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 6 + 1 + 6 + 3 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1194168377 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013635465 SALITHIA MARSH-GARRETT
Individual
Nurse Practitioner (Family)1611 S CICERO AVE
CICERO, IL 60804
(708) 477-4840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194168377, enumerated in the NPI registry as an "organization" on April 08, 2013

The provider is located at 1611 S Cicero Ave Cicero, Il 60804 and the phone number is (708) 477-4840

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on April 08, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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