Mark Sisco, M.D.

Plastic and Reconstructive Surgery Physician · Northbrook, IL

Individual Active NPI

NPI number 1245498658

Practice location

501 Skokie Blvd Ste 250
Northbrook, IL 60062
Phone
(847) 504-2333
Fax
(847) 504-2305

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NPI record

NPI
1245498658
Entity type
Individual (Type 1)
Enumeration date
June 2, 2008
Last updated
February 11, 2021
Certified
February 11, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic and Reconstructive Surgery Physician Primary 2086S0122X 0316111485 IL
Plastic Surgery Physician 208200000X 0316111485 IL

Mailing address

501 Skokie Blvd Ste 250
Northbrook, IL 60062-2802
Phone
(847) 504-2333
Fax
(847) 504-2305

Other practice locations (1)

  • 501 Skokie Blvd Ste 250, Northbrook, IL 60062 · (847) 504-2333

About Dr. Sisco

Mark Sisco, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 501 Skokie Blvd Ste 250, Northbrook, IL 60062. The NPI number 1245498658 was assigned on June 2, 2008 and the record was last updated on February 11, 2021.

Dr. Sisco lists 2 licenses in the registry: #0316111485 (IL) for Plastic and Reconstructive Surgery Physician; #0316111485 (IL) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Sisco, M.D.?

The NPI number is 1245498658.

What is the phone number of Dr. Sisco?

The phone number listed for the practice location is (847) 504-2333.

Where is Dr. Sisco located?

501 Skokie Blvd Ste 250, Northbrook, IL 60062.

What is the taxonomy code for Dr. Sisco?

The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.