Organization
MICHAEL E NISSAN MD PLLC
Active
Other names
Michael E Nissan MD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E NISSAN (OWNER)
(312) 469-0123
Entity
Organization
Contact information
Practice address
712 N DEARBORN ST, CHICAGO, IL 60654-3846
(312) 469-0123
Mailing address
540 N DEARBORN ST UNIT 10074, CHICAGO, IL 60610-1016
(312) 796-9483
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/15/2026
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