Provider Demographics
NPI:1376997973
Name:SINAI COMMUNITY FOUNDATION
Entity Type:Organization
Organization Name:SINAI COMMUNITY FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM DIRECTOR OF DIABETES SERVIC
Authorized Official - Prefix:
Authorized Official - First Name:SHAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHITA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RD, LDN, CDE
Authorized Official - Phone:773-257-2176
Mailing Address - Street 1:2653 W OGDEN AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2653 W OGDEN AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1647
Practice Address - Country:US
Practice Address - Phone:773-257-2176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital