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Contact Information

ALICE CISNEROS, DPM
4225 MAIN ST
SKOKIE, IL60076
 Phone: 847-676-3338
 Fax: 847-676-3668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALICE CISNEROS · (Female)

NPI # 1699783571
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/04/2006
Last updated 02/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016004525
  • IN License # 070007444
  • WI License # 715025
  • IL Other 6000174548 BLUE CROSS
  • IN Other U28723 UPIN IN
Hospital affiliation(s) Not Available
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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