Individual
MARLYN CANERO CIESLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3311
(847) 437-5500
(847) 981-2023
Mailing address
PO BOX 77-9154, DEPT 77-9154, CHICAGO, IL 60678-9722
(847) 437-5500
(847) 981-2023
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094897-2
—
IL
Enumeration date
07/20/2006
Last updated
09/11/2025
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