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Contact Information

DAVID E NISSAN, MD
5140 N CALIFORNIA
SUITE 550
CHICAGO, IL60625
 Phone: 773-728-8800
 Fax: 773-728-0117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DAVID E NISSAN · (Male)

NPI Number 1215007877
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2006
Last updated 04/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036062588
  • IL Medicaid 036062588
  • IL Other 31601661 BCBS
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
  • SWEDISH COVENANT HOSPITAL - (Acute Care)
    5145 N CALIFORNIA AVE
    CHICAGO, IL 60625
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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