Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eduardo J Cisneros

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861384513

Eduardo J Cisneros is a Nurse Practitioner in Northbrook, Illinois. Qualified in 2021, 5 years ago. Practices with Bespoke Psychiatry, a 49-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5 Revere Dr Ste 200
Northbrook, IL 60062-8000
Phone: (312) 600-3991
Fax: (630) 473-2232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209034192 (IL)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 041524344 (IL)

Record details

NPI number1861384513
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bespoke Psychiatry — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northbrook