| Marlyn D Hirsch, APN | |
|
2565 King Drive, Chicago, IL 60616 | |
| (312) 808-7201 | |
| (708) 516-4777 |
| Full Name | Marlyn D Hirsch |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2565 King Drive, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386824597 | NPI | - | NPPES |
| 209006984 | Other | IL | ADVANCED PRACTICE NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 041300563 (Illinois) | Secondary |
| 164W00000X | Licensed Practical Nurse | 209006984 (Illinois) | Primary |
| Entity Name | Wilkes Wellness Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629577986 PECOS PAC ID: 1850636184 Enrollment ID: O20181214001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlyn D Hirsch, APN 2565 S. King Drive, Chicago, IL 60616 Ph: (312) 808-7201 | Marlyn D Hirsch, APN 2565 King Drive, Chicago, IL 60616 Ph: (312) 808-7201 |
Roni Griffin, NURSE Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5307 S Hyde Park Blvd Apt 1121, Chicago, IL 60615 Phone: 708-527-0838 | |
Daoud C Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 709 W 59th St, Chicago, IL 60621 Phone: 773-587-9538 | |
Mrs. Renetta Denise Lincoln-stallworth, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11110 S Homewood Ave, #a1, Chicago, IL 60643 Phone: 773-425-5951 | |
Barbara Silas, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 625 N Michigan Ave, Ste #210, Chicago, IL 60611 Phone: 312-670-2530 Fax: 312-670-2630 | |
Linda Jones, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 630 E 90th Pl, Chicago, IL 60619 Phone: 773-840-4824 | |
Marion Miller, LPN (LICENSED PRACTI Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 North Ashland Avenue, Chicago, IL 60607 Phone: 312-850-9411 | |
Nancy Chairez, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5517 N Kenmore Ave., Chicago, IL 60640 Phone: 714-333-7628 |