Individual
BARBARA M CISLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
5758 S MARYLAND AVE, MC 9028, CHICAGO, IL 60637-1426
(773) 702-7573
(773) 834-8891
Mailing address
5443 EDISON AVE, OAK LAWN, IL 60453-2943
(708) 425-0420
(773) 834-8891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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