Active NPI
Lisa Hirschle, MPT
- Contractor
- Wilmette, IL
National Provider Identifier
1003257890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 070.011989
- Practice address
- 307 Greenleaf Ave
Wilmette, IL 60091-1909 - Phone
- (773) 405-0873
- NPI assigned
- Jul 9, 2013
- Last updated
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 070.011989 | IL | Primary |
Addresses
Primary practice location
307 Greenleaf Ave
Wilmette, IL 60091-1909
Mailing address
307 Greenleaf Ave
Wilmette, IL 60091-1909
Phone (773) 405-0873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.011989 | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1003257890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 GREENLEAF AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911909",
"telephone_number": "773-405-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 GREENLEAF AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911909",
"telephone_number": "773-405-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCHLE",
"first_name": "LISA",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "070.011989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.