Alan L. Sisson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036088113 Issued in IL

Practice address

1229 N North Branch St
Suite 210
Chicago, IL 60642-2473

Phone

(213) 939-5090

Fax

(312) 640-4496

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Physical Medicine & Therapy, LTD.

  • Customized Equipment (DME)
  • Mount Prospect, IL
  • NPI 1821680273
  NPD (past)
• Gemini Health and Wellness LLC

  • General Practice Physician
  • Wheaton, IL
  • NPI 1598585119
  NPD (past)
• Sangamon County Pain Center

  • Chiropractor
  • Springfield, IL
  • NPI 1518172162
  NPD (past)
• Unified Therapeutics LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1154590305
  NPD (past)
• Mobile Ultrasound LLC

  • Vascular Specialist/Technologist Cardiovascular
  • Kansas City, MO
  • NPI 1407113517
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1376793737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FONTAINE CT",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082537",
            "telephone_number": "630-283-5646",
            "fax_number": "630-283-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 N NORTH BRANCH ST",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422473",
            "telephone_number": "213-939-5090",
            "fax_number": "312-640-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "ALAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036088113",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036088113",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036088113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694878",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Christine Sisneros
• Ana Sherie Sison, D.C.
• Ashley Caryn P Sison, CEP
• Cesar Sison Jr., PHARMD
• Kelly Katherine Sisson-Smith
• George Sisson Jr., MD
• Sista Afya Community Care NFP
• Sista Afya Community Care NFP
• Sista Afya Community Mental Wellness LLC
• Kenneth Mark Sistino, D.C.

• All providers in Chicago, IL
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.