Individual provider · Type 1 NPI
Mark Sisco, MD
Plastic and Reconstructive Surgery Physician · Northbrook, IL
NPI number
1245498658
Active
Practice location
501 Skokie Blvd Ste 250
Northbrook, IL 60062
Fax (847) 504-2305
Other practice locations
- 501 Skokie Blvd Ste 250, Northbrook, IL 60062 · (847) 504-2333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 0316111485 (IL) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 0316111485 (IL) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
About NPI 1245498658
Mark Sisco, MD's National Provider Identifier is 1245498658, issued on Jun 2, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Northbrook, IL. The record was last updated on Feb 11, 2021.