IndividualActive
Nusaybah Ismail
NPI 1679942601 · Physician Assistant · Morton Grove, IL
Provider details
- NPI number
- 1679942601
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 085-005644 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2127
Phone: (847) 375-3000
Approximate (ZIP-level) locationGet directions
Mailing address
900 Rand Rd
Des Plaines, IL 60016-2359
Registry dates
- Enumerated
- 2015-09-21
- Last updated
- 2015-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.