Individual provider · Type 1 NPI

Eduardo J. Cisneros

Psychiatric/Mental Health Nurse Practitioner · Northbrook, IL

NPI number 1861384513 Active

Practice location

5 Revere Dr Ste 200
Northbrook, IL 60062-8000

Fax (630) 473-2232

Mailing address

4824 N Tripp Ave
Chicago, IL 60630-2721

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209034192 (IL)
Psychiatric/Mental Health Registered Nurse 163WP0808X041524344 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1861384513

Eduardo J. Cisneros's National Provider Identifier is 1861384513, issued on Jul 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Northbrook, IL. The record was last updated on Dec 31, 2025.