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

Moshe Dissen

Individual provider Internal Medicine Physician · NPI 1487008389

Moshe Dissen is an Internal Medicine in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

2845 N Sheridan Rd Ste 801
Chicago, IL 60657
Phone: (773) 665-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036149851 (IL)

Record details

NPI number1487008389
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2016
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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