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Organization

HIRSCH ADVANCED PRACTICE PROVIDERS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARLYN DENISE HIRSCH APN, DNP, FNP-BC (ADVANCED PRACTICE NURSE)
(708) 571-0490
Entity
Organization

Contact information

Practice address
11422 S WESTERN AVE, CHICAGO, IL 60643-4120
(708) 571-0490
(312) 815-9535
Mailing address
11422 S WESTERN AVE, CHICAGO, IL 60643-4120
(708) 571-0490
(312) 815-9535

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/31/2019
Last updated
10/15/2025
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