Provider Demographics
NPI:1023322500
Name:MT SINAI HOSPITAL
Entity type:Organization
Organization Name:MT SINAI HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIGIA
Authorized Official - Middle Name:ANA
Authorized Official - Last Name:GRINDEANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-542-2000
Mailing Address - Street 1:7721 CHERRY TREE LN
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2466
Mailing Address - Country:US
Mailing Address - Phone:773-542-2000
Mailing Address - Fax:
Practice Address - Street 1:1500 S. CALIFORNIA,
Practice Address - Street 2:MOUNT SINAI HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1729
Practice Address - Country:US
Practice Address - Phone:773-257-6183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125056828282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital