Cisneros, Alice

Cisneros, Alice is an individual health care provider with primary practice located at 4225 Main St , Skokie IL 60076. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Cisneros, Alice can be contacted via phone (847) 676-3338.

Contact Information

Primary practice address
4225 Main St Skokie IL 60076
Phone: (847) 676-3338
Fax: (847) 676-3668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004525 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 715025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 070007444 Indiana

Profile Details

NPI number 1699783571
LBN Legal business name Cisneros, Alice
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 7th, 2012 - about 14 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 1699783571 NPPES
Illinois Other 6000174548 BLUE CROSS
Illinois Other U28723 BLUE CROSS

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