MEDICARE: ERIK CISNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1578180733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK CISNEY

Provider Business Mailing Address
First Line	:	113 W 7TH ST
Second Line	:
City	:	VEEDERSBURG
State	:	IN
Zip	:	47987-1108
Country	:	US
Telephone Number	:	217-649-5181
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 N VERMILION ST STE 202
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-1334
Country	:	US
Telephone Number	:	447-200-2442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2020
Last Update Date	:	12/15/2025

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Directions to “ ERIK CISNEY ” Practice Location

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