HIRSCH ADVANCED PRACTICE PROVIDERS LTD


Address: 11422 S Western Ave, Chicago, IL 60643-4120
Phone: 7085710490

HIRSCH ADVANCED PRACTICE PROVIDERS LTD (NPI# 1396389417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396389417
Entity Type Organization
Organization Name HIRSCH ADVANCED PRACTICE PROVIDERS LTD
Practice Address 11422 S Western Ave
Chicago
IL 60643-4120
Practice Telephone 7085710490
Practice Fax Number 3128159535
Mailing Telephone 7085710490
Mailing Fax Number 3128159535
Enumeration Date 2019-10-31
Last Update Date 2020-11-05
Authorized Official Name DR. MARLYN DENISE HIRSCH (ADVANCED PRACTICE NURSE)
Authorized Official Telephone 7085710490
Authorized Official Credential APN, DNP, FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 11422 S WESTERN AVE
City CHICAGO
State IL
Zip Code 60643-4120

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NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
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1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. Chiropractor 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavioral Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841899788 Neuro Drive Pt, Pllc Clinic/Center 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 2020-10-21
1497308761 Exquisite Care Spa and Wellness Inc. Clinic/Center 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 2019-07-16
1437612405 Voice of Reason Counseling, LLC Clinic/Center 6634 S Knox Ave, Chicago, IL 60629-5643 2019-04-08
1386121283 Aea Optical Ventures, LLC Clinic/Center 4814 N Clark St, Chicago, IL 60640 2018-07-24
1184122509 First Call Network, LLC Clinic/Center 8725 W Higgins Rd Ste 110, Chicago, IL 60631-2710 2018-01-31
1164952362 Franklin Eye Care, LLC Clinic/Center 227 W Monroe St Lbby 160, Chicago, IL 60606-5091 2017-06-19
1770027567 Eating Recovery Center Clinic/Center 3121 Augusta Blvd, Apt 3, Chicago, IL 60622 2016-12-13
1619428273 360 Active Recovery Clinic/Center 2221 W North Ave, #1, Chicago, IL 60647-5429 2016-10-19
1992158562 Illinois Wellness and Weight Loss Centers Sc Clinic/Center 9933 South Western Avenue, Suite 200, Chicago, IL 60643-1810 2016-07-19
1063855500 Lincoln Advanced Diagnostics, LLC Clinic/Center 5354 N Lincoln Ave, Chicago, IL 60625-2316 2013-04-15
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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