Provider Demographics
NPI:1376864405
Name:HIRSHFELD, MEREDITH MCMILLAN (MD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:MCMILLAN
Last Name:HIRSHFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MICHIGAN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5509
Mailing Address - Country:US
Mailing Address - Phone:833-334-6393
Mailing Address - Fax:415-354-3430
Practice Address - Street 1:200 N MICHIGAN AVE STE 102
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5509
Practice Address - Country:US
Practice Address - Phone:833-334-6393
Practice Address - Fax:415-354-3430
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125058592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine