ALICE CISNEROS (NPI# 1699783571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699783571 |
| Entity Type | Individual |
| Full Name | ALICE CISNEROS |
| Credential | DPM |
| Practice Address |
4225 Main St Skokie IL 60076 |
| Practice Telephone | 8476763338 |
| Practice Fax Number | 8476763668 |
| Mailing Telephone | 8476763338 |
| Mailing Fax Number | 8476763668 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 070007444 | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 715025 | WI | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 016004525 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 6000174548 | 01 |
| IN | UPIN IN | U28723 | 01 |
| Street Address |
4225 MAIN ST |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760684302 | Anastasia Cisneros-frausto | Surgery | 4225 Main St, Skokie, IL 60076-2046 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443337 | Kareem Raheem | Podiatrist | 9933 Lawwler, Suite #225, Skokie, IL 60077-3701 | 2006-09-01 |
| 1972598274 | William Samuel Digilio | Podiatrist | 8348 Lincoln Ave, Skokie, IL 60077-2436 | 2005-09-13 |
| 1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
| 1386721991 | Michael Eric Rothman | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2006-11-01 |
| 1760585814 | Quality Podiatry Group, Ltd | Podiatrist | 9933 Lawler Ave, Suite 225, Skokie, IL 60077-3703 | 2006-09-06 |
| 1053421180 | A Bridgeport Foot and Ankle Clinic, Ltd | Podiatrist | 9933 Lawler Ave, Suite 225, Skokie, IL 60077-3703 | 2006-08-30 |
| 1518977974 | Mark Berman D.p.m. | Podiatrist | 10024 Skokie Blvd, Suite 303, Skokie, IL 60077-9944 | 2006-08-09 |
| 1760428890 | Mark Berman | Podiatrist | 10024 Skokie Blvd, Suite 303, Skokie, IL 60077-9944 | 2006-06-20 |
| 1538137831 | Jeffrey J Rager | Podiatrist | 9555 Gross Point Rd, Skokie, IL 60076-1356 | 2006-03-10 |
| 1972579563 | Charles Maurice Mattes | Podiatrist | 8348 Lincoln Ave, Skokie, IL 60077-2436 | 2006-02-24 |
| Find all providers in SKOKIE | ||||
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| 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.