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Organization

EVAN L LIPKIS MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT REYNOLDS (PRACTICE MANAGER)
(847) 729-8833
Entity
Organization

Contact information

Practice address
2150 PFINGSTEN ROAD, SUITE 2200, GLENVIEW, IL 60026
(847) 729-8833
(847) 729-8852
Mailing address
2150 PFINGSTEN ROAD, SUITE 2200, GLENVIEW, IL 60026
(847) 729-8833
(847) 729-8852

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-063246
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194772756
NPI
IL
01
392830
MEDICARE ID
IL
Enumeration date
05/28/2006
Last updated
04/23/2008
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