Organization Active NPI

Hirsch Advanced Practice Providers LTD

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1396389417
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HIRSCH ADVANCED PRACTICE PROVIDERS LTD
Practice address
11422 S Western Ave
Chicago, IL 60643-4120
Phone
(708) 571-0490
Fax
(312) 815-9535
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Dr. Marlyn Denise Hirsch, APN, DNP, FNP-BC
Title
Advanced Practice Nurse
Phone
(708) 571-0490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11422 S Western Ave
Chicago, IL 60643-4120

Mailing address

11422 S Western Ave
Chicago, IL 60643-4120
Phone (708) 571-0490

National Provider Directory

National Provider Directory

Locations

9933 S Western Ave
Ste 200
Chicago, IL 60643
Phone (708) 516-4777

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1396389417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434120",
            "telephone_number": "708-571-0490",
            "fax_number": "312-815-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434120",
            "telephone_number": "708-571-0490",
            "fax_number": "312-815-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRSCH ADVANCED PRACTICE PROVIDERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "708-571-0490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN, DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2025; 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.