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Kenneth Richard Nissim, MD
Otolaryngology Physician in Rockford, Illinois
NPI 1447246392

Kenneth Richard Nissim is a Otolaryngology Physician based in Miami, IL. Kenneth Richard Nissim practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Kenneth Richard Nissim is 1447246392 and holds a License No. ME85561 (Illinois).

The current practice location address for Kenneth Richard Nissim is 1253 N Alpine Rd, Rockford, IL and can be reached out via phone at 779-696-9201 and via fax at 815-397-9667.

Location: 1253 N Alpine Rd, Rockford, IL, 33136-2107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447246392
Provider Name
Kenneth Richard Nissim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1253 N Alpine Rd, Rockford, IL, 33136-2107
Phone Number
779-696-9201
Fax Number
815-397-9667
Provider Enumeration Date
09/26/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2675617-00 05 FL
institution
Provider Business Practice Location Address Details
Address
1253 N Alpine Rd
City
Rockford
State
Illinois
Zip
61107-2201
Phone Number
779-696-9201
Fax Number
815-397-9667
person
Provider Business Mailing Address Details
Address
1253 N Alpine Rd
City
Rockford
State
Illinois
Zip
61107-2201
Phone Number
779-696-9201
Fax Number
815-397-9667
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
ME85561 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Sleep Medicine
Taxonomy
207YS0012X
License No.
036170811 (Illinois)
Definition
An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
ME85561 (Florida)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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