Ciesla, Marlyn Canero

Ciesla, Marlyn Canero is an individual health care provider with primary practice located at 800 Biesterfield Rd , Elk Grove Village IL 60007-3311. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Ciesla, Marlyn Canero can be contacted via phone (847) 437-5500.

Contact Information

Primary practice address
800 Biesterfield Rd Elk Grove Village IL 60007-3311
Phone: (847) 437-5500
Fax: (847) 981-2023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Illinois

Profile Details

NPI number 1528088879
LBN Legal business name Ciesla, Marlyn Canero
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528088879 NPPES
Illinois MEDICAID 036094897-2

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