# INTERNAMED, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376573527
- **Authorized official:** DR. SERGEI G LIPOV M.D. (PRESIDENT)
- **Authorized official phone:** (847) 608-7542

## Contact information

- **Practice address:** 1975 LIN LOR LN, SUITE 285, ELGIN, IL 60123-4902
- **Practice address phone:** (847) 608-7542
- **Practice address fax:** (847) 608-9812
- **Mailing address:** PO BOX 5478, ELGIN, IL 60121-5478
- **Mailing address phone:** (847) 608-7542
- **Mailing address fax:** (847) 608-9812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036065857 | IL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 02/23/2015