Individual
DR. MARK SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 SKOKIE BLVD STE 250, NORTHBROOK, IL 60062
(847) 504-2333
(847) 504-2305
Mailing address
501 SKOKIE BLVD STE 250, NORTHBROOK, IL 60062-2802
(847) 504-2333
(847) 504-2305
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0316111485
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0316111485
IL
Other
Enumeration date
06/02/2008
Last updated
02/11/2021
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