Hirsch, Marlyn D

Hirsch, Marlyn D is an individual health care provider with primary practice located at 2565 King Drive , Chicago IL 60616. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Hirsch, Marlyn D can be contacted via phone (312) 808-7201.

Contact Information

Primary practice address
2565 King Drive Chicago IL 60616
Phone: (312) 808-7201
Fax: (708) 516-4777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 041300563 Illinois
Nursing Service Providers / Licensed Practical Nurse 164W00000X 209006984 Illinois

Profile Details

NPI number 1386824597
LBN Legal business name Hirsch, Marlyn D
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Feb 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386824597 NPPES
Illinois Other 209006984 ADVANCED PRACTICE NURSE

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