Individual
ERICA HIRSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.138913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138913
—
IL
Enumeration date
04/07/2012
Last updated
03/17/2018
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