DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN MICHAEL SISTO, D.D.S.

Active Sole Proprietor

DR. JOHN MICHAEL SISTO, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in PARK RIDGE, Illinois. NPI 1336365642 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PARK RIDGE, IL

Registration Details

NPI Number
1336365642
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2007 (19.286833958224 yrs)
Last Updated
May 21, 2009
License
019016656 (IL)
Sole Proprietor
Yes

Practice Information

Address
111 S. WASHINGTON
STE 101
PARK RIDGE, IL, 60068
Browse IL providers · Browse ZIP 60068
Phone
8476964848
Fax
8476961609
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in PARK RIDGE, IL

Name Credential NPI
DR. ANTHONY M SPINA DDS MD 1508850272
DR. WAYNE F WAGNER DDS 1003876988
DR. BRUCE E HOCHSTADTER DDS 1578666137
DR. LEO DUMANIS DDS 1437255106
DR. BARRY M CHERNY DDS 1922196807
DR. RICHARD D ISAACSON DDS 1639267511
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.