Enrique Cornejo Cisneros, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

125.064371 Issued in IL

Practice address

441 E Erie St Apt 3205
Chicago, IL 60611-4429

Phone

(314) 560-2165

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164719357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E ERIE ST APT 3205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114429",
            "telephone_number": "314-560-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E ERIE ST APT 3205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114429",
            "telephone_number": "314-560-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO CISNEROS",
        "first_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011015465",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "125.064371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cormier, MD
• Peter James Cormier, MD
• Molly E Corn, CNM
• Riley Kathleen Cornacchini, R-DMT
• Nicholas Anthony Corne, MOD, MA, LCPC
• Diego Mateo Cornejo Gonzalez, MD
• Angelica Cornejo, LCPC
• Bernadette Cornejo
• Federico Cornejo, DO
• Rochelle Cornelius, BSN, RN, IBCLC

• Infectious Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.