DR. MARK SISCO


Address: 501 Skokie Blvd Ste 250, Northbrook, IL 60062
Phone: 8475042333

DR. MARK SISCO (NPI# 1245498658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245498658
Entity Type Individual
Full Name DR. MARK SISCO
Credential M.D.
Practice Address 501 Skokie Blvd Ste 250
Northbrook
IL 60062
Mailing Address 501 Skokie Blvd Ste 250
Northbrook
IL 60062-2802
Practice Telephone 8475042333
Practice Fax Number 8475042305
Mailing Telephone 8475042333
Mailing Fax Number 8475042305
Enumeration Date 2008-06-02
Last Update Date 2018-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery 0316111485 IL Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
0316111485 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
501 Skokie Blvd Ste 250, Northbrook, IL 60062 8475042333 8475042305

Office Location

Street Address 501 SKOKIE BLVD STE 250
City NORTHBROOK
State IL
Zip Code 60062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508109505 Elizabeth Anne Burke Plastic Surgery 501 Skokie Blvd Ste 250, Northbrook, IL 60062-2802 2013-03-28
1215181011 Akhil Kumar Seth Plastic Surgery 501 Skokie Blvd Ste 250, Northbrook, IL 60062-2802 2008-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487067 Cvs Aoc Services, L.L.C. Optometrist 936 Willow Road, Store 0141, Northbrook, IL 60062 2020-05-06
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1467984773 Ayzenshteyn Chiropractic Chiropractor 3210 Doolittle Dr., Northbrook, IL 60062 2017-03-28
1396282695 Josephine Driscoll Physician Assistant 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 2017-01-24
1396297842 Lauren Raphael Lcsw LLC Social Worker 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 2016-11-01
1851847073 Jassim Vailoces Physical Therapist 634 Academy Dr, Northbrook, IL 60062 2016-08-28
Find all providers in zip 60062

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1578068524 Jw Operatory Surgery 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 2018-03-29
1780198796 Lin Plastic and Reconstructive Surgery Inc Surgery 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 2017-11-29
1750892923 Alban Ingram Miller Jr. Surgery 1708 Foxborough Ct, Champaign, IL 61822-8503 2017-10-16
1972905545 Jennifer Hein Surgery 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 2014-09-25
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1043559842 Msa Alliance, LLC Surgery 1 Broadway Plz, Sparta, IL 62286-1800 2013-02-14
1518223791 Hansel M Debartolo Jr Md Sc Surgery 11 Debartolo Dr., Sugar Grove, IL 60554 2012-04-02
1952692717 Georgios Kokosis Surgery 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 2011-04-28
1740596808 Swedishamerican Hospital Surgery 6533 Lexus Dr, Rockford, IL 61108 2010-08-27
Find all providers with the same taxonomy

Competitor

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City NORTHBROOK
Zip Code 60062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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