Jocelin Sisto is a Surgical in Bolingbrook, Illinois. Jocelin Sisto practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jocelin Sisto is 1053515262. The last update date is 2011-03-01.
Jocelin Sisto's current location address is Po Box 7009, Bolingbrook, Illinois. You can contact this provider via phone number 7085790018 and fax number 7083540264. The mailing address for Jocelin Sisto is Po Box 7009, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jocelin Sisto |
|---|---|
| Address | Po Box 7009, Bolingbrook, Illinois |
| Phone Number | 7085790018 |
| Fax Number | 7083540264 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053515262 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
| Address | Po Box 7009 |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604407009 |
| Phone Number | 7085790018 |
| Fax Number | 7083540264 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 085-002605 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 403270 | IL | GROUP PTAN | |
| CN4921 | RRMC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jocelin Sisto by the Centers for Medicare & Medicaid Services?
The Jocelin Sisto has been issued the NPI (National Provider Identifier) 1053515262 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jocelin Sisto?
The Jocelin Sisto is physically situated at Po Box 7009, in the city of Bolingbrook, state of IL, with the postal code 604407009.
What is Jocelin Sisto's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jocelin Sisto's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date was the 1053515262 assigned to Jocelin Sisto?
The Jocelin Sisto was issued its 1053515262 on 2007-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jocelin Sisto, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jocelin Sisto, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-01.
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