Nessim, Mark A.

Nessim, Mark A. is an individual health care provider with primary practice located at 1 Kish Hospital Dr. , Dekalb IL 60115-9602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nessim, Mark A. can be contacted via phone (815) 756-1521.

Contact Information

Primary practice address
1 Kish Hospital Dr. Dekalb IL 60115-9602
Phone: (815) 756-1521
Fax: (815) 748-8395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36.121278 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 336.082541 Illinois

Profile Details

NPI number 1780840488
LBN Legal business name Nessim, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Aug 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780840488 NPPES
Illinois MEDICAID 036121278

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