SMG HOME PRACTICE – NPI #1134164841
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SMG HOME PRACTICE is a provider located in DES PLAINES, IL. NPPES has assigned the NPI number 1134164841 to SMG HOME PRACTICE on June 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SMG HOME PRACTICE” is a dba name, the actual legal business name for this organization is MOUNT SINAI COMMUNITY FOUNDATION. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on May 29, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SMG HOME PRACTICE below.

NPI Profile for
MOUNT SINAI COMMUNITY FOUNDATION

NPI Number
1134164841
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNT SINAI COMMUNITY FOUNDATION
Doing Business As (dba): SMG HOME PRACTICE
Primary location
1400 E. GOLF RD
SUITE 118
DES PLAINES, IL 60016
Phone: (847) 635-2001 Fax: (847) 635-2076
Mailing address
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Phone: (708) 786-2905 Fax: (847) 635-2076
Organization Subpart
No
Authorized Official
JOHN VAZQUEZ
CMO
Phone: (773) 257-6850
Updated
Identifiers

Identifiers for SMG HOME PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL760829636-60016-02
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 036112813

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.