Individual
DR. RANDALL E. HIRSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4709 GOLF RD, SUITE #1005, SKOKIE, IL 60076-1231
(847) 677-2404
Mailing address
2100 VALENCIA DR, NORTHBROOK, IL 60062-7063
(847) 498-9712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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