Individual
BETH F. HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 FORD AVE, HOPEDALE, IL 61747-9485
(309) 449-3336
(309) 449-6001
Mailing address
143 FORD AVE, HOPEDALE, IL 61747-9485
(309) 449-3336
(309) 449-6001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
04-189487
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA4079
RR GROUP
IL
01
—
P00414346
RR INDIVIDUAL
IL
Enumeration date
06/05/2007
Last updated
11/07/2007
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