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DR. HANI PETER NISSAN
NPI 1902155633
Physician Assistant - Surgical in Skokie, IL

Active since September 10, 2012
9229 KENTON AVE, SKOKIE, IL 60076(847) 414-4913 Get Directions Write a Review

NPPES record last updated: November 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hani Peter Nissan NPPES

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

DR. HANI PETER NISSAN (NPI 1902155633) is an individual surgical provider in Skokie, Illinois and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1902155633
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDR. HANI PETER NISSAN
Location Address9229 KENTON AVESkokie, IL 60076-1526
Mailing Address9229 Kenton AveSkokie, IL 60076-1526 · (847) 414-4913
Phone(847) 414-4913
Sole ProprietorYes
Enumeration DateSeptember 10, 2012
Last NPPES UpdateNovember 20, 2022
NPPES CertifiedDecember 24, 2020
✔ NPI 1902155633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 238.000141 (IL)
9229 KENTON AVE, Skokie, IL 60076
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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 Hani Nissan's NPI number?

The NPI number for Hani Nissan is 1902155633. It was assigned to this individual provider in the NPPES registry on September 10, 2012.

Where is Hani Nissan located?

Hani Nissan practices at 9229 Kenton Ave, Skokie, IL 60076. The listed phone number is (847) 414-4913.

What is Hani Nissan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Hani Nissan was last updated on November 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.