Active NPI
Marlyn D Hirsch, A.P.N.
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1386824597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277000432
- Practice address
- 2565 King Drive
Chicago, IL 60616 - Phone
- (312) 808-7201
- Fax
- (708) 516-4777
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 209006984 | IL | |
| Nurse Practitioner | 363L00000X | 277000432 | IL | Primary |
| General Practice Registered Nurse | 163WG0000X | 041300563 | IL |
Addresses
Primary practice location
2565 King Drive
Chicago, IL 60616
Mailing address
2565 S. King Drive
Chicago, IL 60616
Phone (312) 808-7201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209006984 | Other | IL | ADVANCED PRACTICE NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080407000017 | IL | Practitioner - Nurse Practitioner | 9739266479 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041300563 | IL | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Hospice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Oak Brook, IL
- NPI 1184691651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1386824597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 S. KING DRIVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-808-7201",
"fax_number": "708-516-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 KING DRIVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-808-7201",
"fax_number": "708-516-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "MARLYN",
"middle_name": "D",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "209006984",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277000432",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041300563",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE NURSE",
"identifier": "209006984",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.