Sisco, Mark
Sisco, Mark is an individual health care provider with primary practice located at 501 Skokie Blvd Ste 250 , Northbrook IL 60062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Sisco, Mark can be contacted via phone (847) 504-2333.Contact Information
Primary practice address
501 Skokie Blvd Ste 250
Northbrook IL 60062
Phone: (847) 504-2333
Fax: (847) 504-2305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 0316111485 | Illinois |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 0316111485 | Illinois |
Profile Details
NPI number | 1245498658 |
---|---|
LBN Legal business name | Sisco, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2008 |
Last updated | Feb 11th, 2021 - about 4 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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