Provider Demographics
NPI:1811144157
Name:LIPSON, SCOTT E (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
Last Name:LIPSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3330 W 177TH ST
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2184
Mailing Address - Country:US
Mailing Address - Phone:708-799-6799
Mailing Address - Fax:708-799-6991
Practice Address - Street 1:3330 W 177TH ST
Practice Address - Street 2:SUITE 3C
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2184
Practice Address - Country:US
Practice Address - Phone:708-799-6799
Practice Address - Fax:708-799-6991
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2021-12-14
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Provider Licenses
StateLicense IDTaxonomies
MA2378592084N0400X
IL036-12311142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology