Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 036038113 | IL |
NPI | 1003840133 |
---|---|
Provider Name | Dr. Marshall Hirshman |
First Address | Des Plaines, IL 60016 |
Second Address | Des Plaines, IL 60016-4029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0338490001 | ADMINISTAR FEDERAL (01) | IL |
0360381131 | (05) | IL |
8010 | ADVOCATE HEALTH (01) | IL |
C39703 | (02) |