Search › Illinois › Surgical Physician Assistant
Hani Nissan
NPI 1902155633 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9229 Kenton Ave
Skokie, IL 60076 - Phone
- (847) 414-4913
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Surgical Assistant
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-20
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