Individual
DR. GINA MARIE PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
522 DEMPSTER AVE., EVANSTON, IL 60202
(847) 864-5200
(847) 864-1231
Mailing address
676 N SAINT CLAIR ST, STE 1500, CHICAGO, IL 60611-2995
(847) 864-5200
(847) 864-1231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008974
—
IL
01
—
1636706
BCBS
—
01
—
210209
MEDICARE GROUP
—
01
—
7235044
AETNA
—
01
—
8825444
MULTIPLAN
IL
Enumeration date
08/08/2006
Last updated
03/13/2017
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