Search › Illinois › 207YX0007X
Kenneth Nissim, M.D
NPI 1447246392 · on the registry since 2005
Practice
- Address
- 1253 N Alpine Rd
Rockford, IL 61107 - Phone
- (779) 696-9201
- Fax
- (815) 397-9667
- Organisation at this address
- Swedishamerican Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Additional practice sites
- 8932 Sw 97th Ave, Miami, FL
Registry record
- Primary taxonomy
- 207YX0007X
207YX0007X
- Also registered as
- 207YS0012X
207Y00000X - Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois