Individual
DR. GEORGE RONEN NISSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1460 N HALSTED ST STE 501, CHICAGO, IL 60642-2615
(773) 388-6390
(312) 867-7101
Mailing address
1460 N HALSTED ST STE 501, CHICAGO, IL 60642-2615
(773) 388-6390
(312) 867-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108447
IL
207R00000X
Internal Medicine Physician
L0459
TX
Other
Enumeration date
08/17/2005
Last updated
08/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us