Active NPI
Daniel J Hirsen, M.D.
- Specialist
- Palos Hills, IL
National Provider Identifier
1477596807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 10330 S Roberts Rd
2ND Floor
Palos Hills, IL 60465-1971 - Phone
- (708) 233-5644
- Fax
- (708) 425-3907
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 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
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060905000470 | IL | Practitioner - Internal Medicine | 6709889157 | Practice locations: Palos Hills, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1477596807",
"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": {
"last_name": "HIRSEN",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Hills, IL
- Shireen Mohamed Hassan
- Healing Hearts Animal Assisted Therapy, PLLC
- Molly Maureen Higgins, , RN, FNP-BC
- Paige Elizabeth Hillock
- Alexa Hinkleman, PA-C
- Nicholas William Holbrook
- Home Care Providers of Illinois, Inc.
- Home Medical Equipment Providers, Inc.
- Home Visiting Physicians
- House Call Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.