Individual
ALFRED CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4777 N HARLEM AVE, HARWOOD HEIGHTS, IL 60706-4658
(708) 867-4020
(708) 867-5306
Mailing address
4777 N HARLEM AVE, HARWOOD HEIGHTS, IL 60706-4658
(708) 867-4020
(708) 867-5306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-061744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3160120373
BC/BS
IL
Enumeration date
08/22/2006
Last updated
03/07/2023
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