Provider Demographics
NPI:1245721067
Name:LIPNICK ORTHOPAEDICS S.C.
Entity type:Organization
Organization Name:LIPNICK ORTHOPAEDICS S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIPNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-692-8929
Mailing Address - Street 1:125 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:IL
Mailing Address - Zip Code:60022-1303
Mailing Address - Country:US
Mailing Address - Phone:818-692-8929
Mailing Address - Fax:
Practice Address - Street 1:4856 OAKTON STREET
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-329-5000
Practice Address - Fax:847-329-0472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036117668207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty