MARK W HISER, MD, Cardiovascular Disease ROCKFORD, IL

Contact Information

MARK W HISER, MD

444 ROXBURY ROAD
ROCKFORD, IL 61107-5059

Phone: 815-398-3000
Fax: 815-398-3041
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Body Imaging	2085B0100X
Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine
Diagnostic Ultrasound	2085U0001X
Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for MARK W HISER · (Male)

NPI #	`1538184924`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/13/2006
Last updated	11/11/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	IL License # 36055207 IL Medicaid 036055207 1 GA Other CB0709/060009209 RR MEDICARE GROUP ID#/PIN IL Other 101 15501 B/C B/S OF ILLINOIS
Hospital affiliation(s)	CENTRAL DUPAGE HOSPITAL - (Acute Care) 25 NORTH WINFIELD ROAD WINFIELD, IL 60190 CGH MEDICAL CENTER - (Acute Care) 100 EAST LEFEVRE ROAD STERLING, IL 61081 KISHWAUKEE COMMUNITY HOSPITAL - (Acute Care) ONE KISH HOSPITAL DRIVE DEKALB, IL 60115 MENDOTA COMMUNITY HOSPITAL - (Critical Access) 1401 E 12TH STREET MENDOTA, IL 61342 SAINT ANTHONY MEDICAL CENTER - (Acute Care) 5666 EAST STATE STREET ROCKFORD, IL 61108

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARK W HISER, MD – NPI #1538184924Cardiovascular Disease

Contact Information

Specialty

Cardiovascular Disease

Body Imaging

Clinical Cardiac Electrophysiology

Diagnostic Ultrasound

Interventional Cardiology

NPI Profile & details for MARK W HISER · (Male)

Reviews for MARK W HISER

MARK W HISER, MD – NPI #1538184924
Cardiovascular Disease