Dr. Kenneth Richard Nissim, M.D.
Sleep Medicine
NPI: 1447246392 Illinois
76/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice15/15
21 years
Data Freshness6/10
Updated 567 days ago
License Status
IllinoisActive
License #
036170811
Issued
Jun 28, 2024
Expires
Jul 31, 2029
Practice Information
- Address
- 1253 N ALPINE RD
- ROCKFORD, IL 61107
- Phone
- (779) 696-9201
- In Practice Since
- September 26, 2005
- Data Last Updated
- December 11, 2024
NPI Details
- NPI Number
- 1447246392
- Status
- Active
- Taxonomy Code
- 207YS0012X
Data sourced from CMS NPPES public database. Last verified: December 11, 2024.
Report an error