Individual
GARY LIPINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 E CASS ST, JOLIET, IL 60432-2812
(815) 726-3377
Mailing address
213 E CASS ST, JOLIET, IL 60432-2812
(815) 726-3377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059946
—
IL
01
—
2215159
BLUE SHIELD GROUP #
IL
Enumeration date
08/08/2006
Last updated
02/25/2025
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