Dr. Hani Peter Nissan
Dr. Hani Peter Nissan is a Surgical Physician Assistant in Skokie, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
9229 Kenton AveSkokie, IL 60076-1526
Phone: (847) 414-4913
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 238.000141 (IL) |
Record details
| NPI number | 1902155633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2012 |
| Last updated in NPPES | November 20, 2022 |
| Certification date | December 24, 2020 |
| Mailing address | 9229 Kenton Ave, Skokie, IL 60076-1526 |
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