Michael E Nissan MD PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MICHAEL E NISSAN MD PLLC

Doing business as

Michael E Nissan MD

Practice address

712 N Dearborn St
Chicago, IL 60654-3846

Phone

(312) 469-0123

NPI assigned

Jun 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael E Nissan

Title

Owner

Phone

(312) 469-0123

Specialties & licenses 1

Addresses

Other names 1

• Michael E Nissan MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1982538880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DEARBORN ST UNIT 10074",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101016",
            "telephone_number": "312-796-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543846",
            "telephone_number": "312-469-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E NISSAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "NISSAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-469-0123"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael E Nissan MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael a. Luckett, DMD & Associates (Western (DentalWorks)
• Michael a. Wood, D.P.M., P.C.
• Michael C Griffin LTD (Northalsted Dental Center)
• Michael C Molay DPM
• Michael C. Martinez LCPC
• Michael G Close MD PC
• Michael G Luban DC Limited (Advance Center for Chiropractic, Acupuncture, Nutrition)
• Michael Heard (Micares)
• Michael J Young M D P C
• Michael J. Gainer, PH.D., P.C. (Gainer Psychological Associates)

• Plastic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.