Individual
MR. MARK A. NESSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 KISH HOSPITAL DR., DEKALB, IL 60115-9602
(815) 756-1521
(815) 748-8395
Mailing address
1 KISH HOSPITAL DR., DEKALB, IL 60115-9602
(815) 756-1521
(815) 748-8395
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
336.082541
IL
207L00000X
Anesthesiology Physician
Primary
36.121278
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121278
—
IL
Enumeration date
08/01/2008
Last updated
08/10/2010
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