Provider Demographics
NPI:1487975967
Name:CISLER, ANNA (MS)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CISLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 N HALSTED ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5105
Mailing Address - Country:US
Mailing Address - Phone:773-472-4900
Mailing Address - Fax:773-871-5221
Practice Address - Street 1:2825 N HALSTED ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5105
Practice Address - Country:US
Practice Address - Phone:773-472-4900
Practice Address - Fax:773-871-5221
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS