Provider Demographics
NPI:1770560757
Name:LIPKIS, EVAN L (MD)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:L
Last Name:LIPKIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2150 PFINGSTEN RD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026
Mailing Address - Country:US
Mailing Address - Phone:847-729-8833
Mailing Address - Fax:847-729-8852
Practice Address - Street 1:2150 PFINGSTEN RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-729-8833
Practice Address - Fax:847-729-8852
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2011-01-07
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Provider Licenses
StateLicense IDTaxonomies
IL036063246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1770560757OtherNPI
ILD15100Medicare UPIN
IL1770560757OtherNPI