Mount Sinai Family Practice Residency Program of Chicago

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

036117932 Issued in IL

Legal business name

MOUNT SINAI FAMILY PRACTICE RESIDENCY PROGRAM OF CHICAGO

Practice address

1500 S California Ave
Chicago, IL 60608-1729

Phone

(773) 257-6097

NPI assigned

May 9, 2009

Last updated

May 9, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria R. Cisneros, MDNPI 1184946568

Title

Resident/Physician

Phone

(773) 257-6097

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Rosario Cisneros, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1184946568
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241827200000",
    "number": "1093949729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 S CORA ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182210",
            "telephone_number": "312-860-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081729",
            "telephone_number": "773-257-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI FAMILY PRACTICE RESIDENCY PROGRAM OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2009-05-09",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "RESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "773-257-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "036117932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Community Foundation Dba Sinai Medical Group
• Mount Sinai Community Foundation Dba Sinai Medical Group (SMG Wentworth)
• Mount Sinai Community Foundation Dba Sinai Medical Group
• Mount Sinai Community Foundation Dba Sinai Medical Group (HCH Marquette Park Clinic)
• Mount Sinai Community Foundation Dba Sinia Medical Group
• Mount Sinai Hospital
• Mount Sinai Hospital
• Mount Sinai Hospital
• Mount Sinai Hospital
• Mount Sinai Hospital

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.