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General NPI Number Information
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NPI Number | 1174509020
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Entity Type | Individual
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Provider Name | SHELDON M HIRSCH MD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1717 S WABASH AVE
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City | CHICAGO
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State | IL
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Zip | 60616-1219
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Country | US
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Telephone | 312-913-0110
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Fax | 312-913-9154
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Provider Business Mailing Address
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Address Line | 2277 W HOWARD ST
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City | CHICAGO
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State | IL
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Zip | 60645-1922
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Country | US
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Telephone | 773-508-0110
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Fax | 773-508-0074
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036065928
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License Number State | IL
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