DR. ALAN L. SISSON (NPI# 1376793737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376793737 |
| Entity Type | Individual |
| Full Name | DR. ALAN L. SISSON |
| Credential | M.D. |
| Practice Address |
1229 N North Branch St Suite 210 Chicago IL 60642-2473 |
| Practice Telephone | 2139395090 |
| Practice Fax Number | 3126404496 |
| Mailing Telephone | 3129395090 |
| Mailing Fax Number | 3126404496 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036088113 | IL | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036088113 | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036088113 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 694878 | 05 |
| Street Address |
1229 N NORTH BRANCH ST SUITE 210 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376528802 | J. Romaine Roberts | Anesthesiology | 1229 N North Branch St, Chicago, IL 60642-2473 | 2005-12-07 |
| 1689098766 | Targol Christie Esmaili | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2496 | 2014-02-11 |
| 1851729370 | Midwest Podiatric Physicians, P.C. | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2473 | 2013-10-18 |
| 1770887408 | Sujin G Kim | Podiatrist | 1229 N North Branch St, Suite 308, Chicago, IL 60642-2473 | 2011-01-10 |
| 1639322662 | Antoni A Piergies | Internal Medicine | 1229 N North Branch St, Suite 210, Chicago, IL 60642-2473 | 2008-11-04 |
| 1083875256 | Andrea Luisa Peach | Podiatrist | 1229 N North Branch St, Suite 210, Chicago, IL 60642-2473 | 2008-06-20 |
| 1629259809 | Glenn M Winter | Internal Medicine | 1229 N North Branch St, Suite 210, Chicago, IL 60622-2473 | 2007-11-16 |
| 1699960690 | Douglas John Frohlich I | Family Medicine | 1229 N North Branch St, Suite 210, Chicago, IL 60622-2473 | 2007-09-12 |
| 1326233735 | Mobile Doctors Management | Internal Medicine | 1229 N North Branch St, Suite 210, Chicago, IL 60622-2473 | 2007-09-10 |
| 1528258571 | Mikhail Magdel | Internal Medicine | 1229 N North Branch St, Suite 210, Chicago, IL 60642-2473 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225918 | Welcome Health Management Group | Family Medicine | 2325 W Harrison St Apt 2, Chicago, IL 60612-3555 | 2020-04-30 |
| 1508419367 | Well Kept Elder Enterprises, LLC | Family Medicine | 18 S Michigan Ave, Chicago, IL 60603-3200 | 2019-07-22 |
| 1548618549 | Anna Breen Liggett | Family Medicine | 675 N Saint Clair St Ste 18-200, Chicago, IL 60611-5929 | 2016-05-31 |
| 1962878264 | Integrative Healthcare Network | Family Medicine | 7531 S Stony Island Ave, Suite 164, Chicago, IL 60649-3954 | 2015-08-20 |
| 1114362456 | Asap Wellness Center, Sc | Family Medicine | 730 S Dearborn St, Chicago, IL 60605-1838 | 2013-04-30 |
| 1255698809 | Laura Amanda Perry | Family Medicine | 722 W Maxwell St Ste 235, Chicago, IL 60607 | 2012-04-20 |
| 1366708117 | Ria Luz Parcellano | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2012-04-05 |
| 1316219546 | Mark Grant | Family Medicine | 225 N Michigan Ave, Bcbsa, Chicago, IL 60601-7757 | 2012-02-03 |
| 1861703928 | Magdalena Bednarczyk | Family Medicine | 1725 W Harrison St, Suite 955, Chicago, IL 60612-3841 | 2010-06-23 |
| 1255519310 | Carol Krohm | Family Medicine | 2611 W Chicago Ave, Chicago, IL 60622 | 2008-01-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.