MEDICARE: DR. INGY MOURICE NESSIM D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019.027737	IL

General Provider Information

NPI Number	:	1912159534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INGY MOURICE NESSIM D.D.S

Provider Business Mailing Address
First Line	:	1634 E 53RD ST
Second Line	:	#101
City	:	CHICAGO
State	:	IL
Zip	:	60615-4384
Country	:	US
Telephone Number	:	773-752-5677
Fax Number	:

Provider Business Practice Location Address
First Line	:	1634 E 53RD ST
Second Line	:	#101
City	:	CHICAGO
State	:	IL
Zip	:	60615-4384
Country	:	US
Telephone Number	:	773-752-5677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	03/03/2009

Similar Medicare Providers

1366613671 — HYDE PARK DENTAL PROFILE
Practice Location Address:

1634 E 53RD ST , SUITE 101&102
CHICAGO, IL
60615-4384

Practice Phone: 773-752-5677
Practice Fax: 773-752-6029

1861772394 — HYDE PARK UNIVERSAL DENTAL LLC
Practice Location Address:

1634 E 53RD ST , SUITE 101
CHICAGO, IL
60615-4384

Practice Phone: 773-966-6465
Practice Fax: 773-952-4683

1912248162 — HYDE PARK UNIVERSAL DENTAL LLC
Practice Location Address:

1634 E 53RD ST
CHICAGO, IL
60615-4384

Practice Phone: 773-966-6465
Practice Fax: 773-952-4683

1053750224 — CHIRO ONE WELLNESS CENTER OF EAST HYDE PARK LLC
Practice Location Address:

1634 E 53RD ST , STE A
CHICAGO, IL
60615-4384

Practice Phone: 630-468-1824
Practice Fax: 630-701-1007

1508279803 — DR. NADER ABU-SERAJ D.M.D
Practice Location Address:

1634 E 53RD ST
CHICAGO, IL
60615-4384

Practice Phone: 773-966-6465
Practice Fax:

1275197253 — HYDE PARK AMAZING DENTAL LLC
Practice Location Address:

1634 E 53RD ST
CHICAGO, IL
60615-4384

Practice Phone: 773-966-6465
Practice Fax: 773-952-4683

Directions to “ DR. INGY MOURICE NESSIM D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.