Benedict E Ciszek, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.117812 Issued in IL

Practice address

7447 W Talcott Ave Ste 121
Chicago, IL 60631-3712

Phone

(773) 990-3900

Fax

(773) 990-3929

NPI assigned

Jun 14, 2007

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Advocate Health and Hospitals Corporation

  dba Advocate Medical Group

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  NPD
• Metrodocs, S.C.

  • Family Medicine Physician
  • Mount Prospect, IL
  • NPI 1760607634
  NPD (past)
• Pioneer Concierge Medicine, PLLC

  • Family Medicine Physician
  • Glenview, IL
  • NPI 1417676891
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1881898617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313712",
            "telephone_number": "773-990-3900",
            "fax_number": "773-990-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313712",
            "telephone_number": "773-990-3900",
            "fax_number": "773-990-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISZEK",
        "first_name": "BENEDICT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.117812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bciszek71757@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "7447 W Talcott Ave Ste 121",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Cisneros, D.C.
• Rosa Cisneros, LSW
• Vanessa Cisneros, CLINICAL PSYCHOLOGIS
• Helene Cissell
• Anthony Daniel Cisternino, D.C.
• Jessica Ann Ciszek, M.D.
• Krystyna Ciszek, BCBA
• Michael Anthony Ciszek
• Emily Ciszewski
• Citadel Behavioral Health Services Inc.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.