Individual provider Active NPI

Marlyn Canero Ciesla, M.D.

  • Cytopathology Physician
  • Elk Grove Village, IL
National Provider Identifier
1528088879
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
Practice address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3311
Phone
(847) 437-5500
Fax
(847) 981-2023
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X IL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X IL

Addresses

Primary practice location

800 Biesterfield Rd
Elk Grove Village, IL 60007-3311

Mailing address

PO Box 77-9154
Dept 77-9154
Chicago, IL 60678-9722
Phone (847) 437-5500

Other identifiers 1

IdentifierTypeStateIssuer
036094897-2MedicaidIL

Other names 1

  • Marlyn Elizabeth Canero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000436 IL Practitioner - Pathology 6507896362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Carolina School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Pathology Consultants PLLCGroup PAC ID 5496928558, 13 clinicians

Practice addresses (Care Compare)

1555 N Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-094897ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Pathology Consultants, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 5, 2011 Accepting new patients
Loyola University Physician Foundation Past Accepting new patients
Elk Grove Lab Physicians, P.C. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

800 Biesterfield Rd
Ste 407
Elk Grove Vlg, IL 60007
Phone (847) 952-7181

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528088879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77-9154",
            "address_2": "DEPT 77-9154",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606789722",
            "telephone_number": "847-437-5500",
            "fax_number": "847-981-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-437-5500",
            "fax_number": "847-981-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLA",
        "first_name": "MARLYN",
        "middle_name": "CANERO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094897-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLYN",
            "last_name": "CANERO",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.