Provider Demographics
NPI:1346418720
Name:SINAI MEDICAL CENTERS LTD
Entity Type:Organization
Organization Name:SINAI MEDICAL CENTERS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALZEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-585-4032
Mailing Address - Street 1:5907 W 63RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-5409
Mailing Address - Country:US
Mailing Address - Phone:773-585-4032
Mailing Address - Fax:773-585-7249
Practice Address - Street 1:5907 W 63RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-5409
Practice Address - Country:US
Practice Address - Phone:773-585-4032
Practice Address - Fax:773-585-7249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-093271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036093271Medicaid
IL036110790Medicaid
ILI23653Medicare UPIN
IL036093271Medicaid
ILG38769Medicare UPIN