Cisco Therapeutic Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CISCO THERAPEUTIC SERVICES, INC.

Doing business as

Kris Cisco

Practice address

1520 N Rock Run Dr
Suite 30a
Crest Hill, IL 60435-3153

Phone

(815) 741-3009

Fax

(815) 741-8322

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kris Cisco, LCSW

Title

Owner

Phone

(815) 741-3009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kris Cisco Doing business as

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912917725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N ROCK RUN DR",
            "address_2": "SUITE 30A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604353153",
            "telephone_number": "815-741-3009",
            "fax_number": "815-741-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N ROCK RUN DR",
            "address_2": "SUITE 30A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604353153",
            "telephone_number": "815-741-3009",
            "fax_number": "815-741-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISCO THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CISCO",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-741-3009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER #",
            "identifier": "09932284",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kris Cisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Chavez, RBT
• Patricia Chavez, LPC
• Laura Chesky
• Brody Chmielewski
• Jun Hyeok Jeremiah Choi, DMD
• Community Pediatrics
• Megan T Connolly, PA-C
• Danika Alyce Contreras, ED.D., LCPC
• County of Will, SD #88
• Crescent Chiropractic PLLC

• Clinical Social Worker in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.