Dr Hani Peter Nissan, - Physician Assistant in Skokie, IL

Dr Hani Peter Nissan, is a Physician Assistant - Surgical based in Skokie, Illinois. Dr Hani Peter Nissan is licensed to practice in * (Not Available) (license number ) and his current practice location is 9229 Kenton Ave, Skokie, Illinois. He can be reached at his office (for appointments etc.) via phone at (847) 414-4913.

NPI number for Dr Hani Peter Nissan is 1902155633 and his current mailing address is 9229 Kenton Ave, Skokie, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902155633.

Contact Information

Dr Hani Peter Nissan,
9229 Kenton Ave,
Skokie, IL 60076-1526
(847) 414-4913
Not Available

Map and Direction




Provider's Profile

Full NameDr Hani Peter Nissan
GenderMale
SpecialityPhysician Assistant - Surgical
Location9229 Kenton Ave, Skokie, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902155633
  • Provider Enumeration Date: 09/10/2012
  • Last Update Date: 11/20/2022

Medical Identifiers

Medical identifiers for Dr Hani Peter Nissan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902155633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Primary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 238.000141 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hani Peter Nissan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Hani Peter Nissan,
9229 Kenton Ave,
Skokie, IL 60076-1526

Ph: (847) 414-4913
Dr Hani Peter Nissan,
9229 Kenton Ave,
Skokie, IL 60076-1526

Ph: (847) 414-4913

Reviews and Comments


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