Provider Demographics
NPI:1447243605
Name:LIPINSKI, CASIMIR E (MD)
Entity Type:Individual
Prefix:
First Name:CASIMIR
Middle Name:E
Last Name:LIPINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 W TALBOTT
Mailing Address - Street 2:SUITE 262
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-775-1900
Mailing Address - Fax:773-775-8034
Practice Address - Street 1:7447 W TALCOTT
Practice Address - Street 2:SUITE 262
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-775-1900
Practice Address - Fax:773-775-8034
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36060744207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01607483OtherBS
IL036060744Medicaid
IL036060744Medicaid
ILP11843Medicare PIN
IL01607483OtherBS