Individual
DR. MARK JAMES PISANESCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, DEPT OF RADIOLOGY, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
0N 771 WOODLAWN ST., WHEATON, IL 60187
(630) 690-9299
(630) 690-3149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-084676
IL
Other
Enumeration date
06/19/2006
Last updated
04/28/2021
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