| Marlyn Canero Ciesla, MD | |
|
800 Biesterfield Rd, Elk Grove Village, IL 60007-3311 | |
| (847) 437-5500 | |
| (847) 981-2023 |
| Full Name | Marlyn Canero Ciesla |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 31 Years |
| Location | 800 Biesterfield Rd, Elk Grove Village, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528088879 | NPI | - | NPPES |
| 036094897-2 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | (Illinois) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Pathology Consultants Pllc | 5496928558 | 8 |
| Entity Name | Alliance Pathology Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972881613 PECOS PAC ID: 5496928558 Enrollment ID: O20111105000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlyn Canero Ciesla, MD Po Box 77-9154, Dept 77-9154, Chicago, IL 60678-9722 Ph: (847) 437-5500 | Marlyn Canero Ciesla, MD 800 Biesterfield Rd, Elk Grove Village, IL 60007-3311 Ph: (847) 437-5500 |
Pepito Perez Parayno, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 Fax: 847-981-2023 | |
Dr. Maria Mcintire, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 | |
Carlos S. Shibata, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 Fax: 847-981-2023 | |
Jose E. Gonzalez, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 Fax: 847-981-2023 | |
Peter Francis Bernhardt, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 Fax: 847-981-2023 | |
Ellen L Polisky, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-437-5500 |