Mitchell Ciesla, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051029144 Issued in IL

Practice address

10532 S Tripp Ave
Oak Lawn, IL 60453-4948

Phone

(708) 425-8764

Fax

(708) 425-9543

NPI assigned

Dec 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1598034696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 S TRIPP AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534948",
            "telephone_number": "708-425-8764",
            "fax_number": "708-425-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10532 S TRIPP AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534948",
            "telephone_number": "708-425-8764",
            "fax_number": "708-425-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLA",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051029144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chalese Chudzinski, PT, DPT
• Victor Sopuruchi Chukwueke, MD
• Vivian Nnenna Chukwuma, M.D.
• Nancy R G Church, M.D.
• Rasa Ciceniene, M.A., LCPC
• Stephania Anna Cieslak, RN
• Enrique Guillermo Cifuentes, M.D.
• William Paul Cikanek, P.T.
• Michael Cirone, M.D.
• Mindy Cisneros

• Pharmacist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.