David E Nissan is a Otolaryngology in Chicago, Illinois. David E Nissan practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for David E Nissan is 1215007877. The last update date is 2021-04-12.
David E Nissan's current location address is 5140 N California, Chicago, Illinois. You can contact this provider via phone number 7737288800 and fax number 7737280117. The mailing address for David E Nissan is 5140 N California, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David E Nissan |
|---|---|
| Address | 5140 N California, Chicago, Illinois |
| Phone Number | 7737288800 |
| Fax Number | 7737280117 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215007877 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2021-04-12 |
Provider Mailing Address Detail
| Address | 5140 N California |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60625 |
| Phone Number | 7737288800 |
| Fax Number | 7737280117 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 36062588 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36062588 | IL | -- | |
| 31601661 | IL | BCBS |
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What is the unique identifier code issued to David E Nissan by the Centers for Medicare & Medicaid Services?
The David E Nissan has been assigned the NPI (National Provider Identifier) 1215007877. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the David E Nissan located?
The David E Nissan is located at 5140 N California, Chicago, IL 60625.
What is David E Nissan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David E Nissan's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215007877 to David E Nissan?
The Centers for Medicare & Medicaid Services originally issued the 1215007877 to David E Nissan on 2006-11-09.
As of what date were the details pertaining to David E Nissan last refreshed?
The information related to the David E Nissan, including its address, specialty, and other relevant details, was last updated on 2021-04-12.