Individual
ROGER G NISSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 W CENTRAL RD, SUITE 7100, ARLINGTON HTS, IL 60005-2355
(847) 392-7810
(847) 392-7834
Mailing address
880 W CENTRAL RD, SUITE 7100, ARLINGTON HTS, IL 60005-2355
(847) 392-7810
(847) 392-7834
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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