NPIMap

Organization Active NPI

Daniel J. Hirsen, M.D.,LLC

  • Specialist
  • Palos Hills, IL
National Provider Identifier
1083661789
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DANIEL J. HIRSEN, M.D.,LLC
Practice address
10330 S Roberts Rd
2ND Floor
Palos Hills, IL 60465-1971
Phone
(708) 233-5644
Fax
(708) 425-3907
NPI assigned
May 28, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel J Hirsen, M.D.NPI 1477596807
Title
Director
Phone
(708) 424-9353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

10330 S Roberts Rd
2ND Floor
Palos Hills, IL 60465-1971

Mailing address

PO Box 7389
Prospect Heights, IL 60070-7389
Phone (847) 870-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1083661789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7389",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600707389",
            "telephone_number": "847-870-3600",
            "fax_number": "847-870-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 S ROBERTS RD",
            "address_2": "2ND FLOOR",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651971",
            "telephone_number": "708-233-5644",
            "fax_number": "708-425-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. HIRSEN, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HIRSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-424-9353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.