Individual
EDWARD KIRSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-094001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094001
—
IL
01
—
F400526715
PTAN
IL
Enumeration date
06/24/2006
Last updated
11/22/2019
Update your record
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