Marlyn Canero Ciesla, M.D.
Pathology, Cytopathology in Elk Grove Village, IL. Individual provider (NPI-1).
NPI number1528088879
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1528088879
- Entity type
- Individual (NPI-1)
- Name
- Marlyn Canero Ciesla
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZC0500X | Pathology, Cytopathology | 036-094897 | IL | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036-094897 | IL |
Other names
- Marlyn Elizabeth Canero (Former Name)
Practice location
800 Biesterfield RdElk Grove Village, IL 60007-3311
Phone 847-437-5500 · Fax 847-981-2023
Mailing address
Po Box 77-9154Dept 77-9154
Chicago, IL 60678-9722
Phone 847-437-5500 · Fax 847-981-2023
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