Individual
DR. ALAN L. SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(213) 939-5090
(312) 640-4496
Mailing address
68 FONTAINE CT, BLOOMINGDALE, IL 60108-2537
(630) 283-5646
(630) 283-5646
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036088113
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036088113
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036088113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
694878
—
IA
Enumeration date
09/23/2008
Last updated
12/31/2020
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