Individual
DANIEL ROBERT LIPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
51 E 14TH ST APT 1015, CHICAGO, IL 60605-2998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125086628
IL
Other
Enumeration date
03/24/2025
Last updated
06/12/2025
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