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DAVID E NISSAN MD
NPI 1215007877
Otolaryngology in Chicago, IL

Active since November 09, 2006
5140 N CALIFORNIA, SUITE 550, CHICAGO, IL 60625(773) 728-8800(773) 728-0117 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2021, Oct 30, 2020 (2 updates tracked since 2020).

About David E Nissan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID E NISSAN MD (NPI 1215007877) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (036062588) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215007877
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDAVID E NISSANCredential: MD
Location Address5140 N CALIFORNIA, SUITE 550Chicago, IL 60625
Mailing Address5140 N California, Suite 550Chicago, IL 60625 · (773) 728-8800 · Fax (773) 728-0117
Phone(773) 728-8800
Fax(773) 728-0117
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1215007877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036062588
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5140 N CALIFORNIA, Chicago, IL 60625
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Other Names 1

Former Name (1)Daoud E Nissan Md

Other Identifiers 2

Medicaid036062588IL
Other31601661IL · Bcbs

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNG YUN WON MD
Obstetrics & Gynecology
5140 N CALIFORNIA, SUITE 740
CHICAGO, IL 60625
Cook County (773) 275-5518
DR. PU WOONG KIM MD SC
Pediatrics
5140 N CALIFORNIA, SUITE 715
CHICAGO, IL 60625
Cook County (773) 561-1554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Nissan's NPI number?

The NPI number for David Nissan is 1215007877. It was assigned to this individual provider in the NPPES registry on November 9, 2006. The provider is also known as Daoud E Nissan MD.

Where is David Nissan located?

David Nissan practices at 5140 N California Suite 550, Chicago, IL 60625. The listed phone number is (773) 728-8800.

What is David Nissan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for David Nissan was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.