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Organization

ELEONORA KUL LIPSKI MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELEONORA KUL LIPSKI MD (MD)
(708) 456-3500
Entity
Organization

Contact information

Practice address
4900 N CUMBERLAND, NORRIDGE, IL 60706
(708) 456-3500
(708) 453-6907
Mailing address
4900 N CUMBERLAND, NORRIDGE, IL 60706
(708) 456-3500
(708) 453-6907

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036089308
IL
207Q00000X
Family Medicine Physician
042616880
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01606450
BCBS
05
036089308
IL
Enumeration date
07/18/2006
Last updated
01/16/2008
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