Individual
DR. EUGENE G LIPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2260 W HIGGINS RD, SUITE 101, HOFFMAN ESTATES, IL 60169-2431
(847) 608-6620
(847) 742-5135
Mailing address
2260 W HIGGINS RD, SUITE 101, HOFFMAN ESTATES, IL 60169-2431
(847) 608-6620
(847) 742-5135
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036071840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131846500
DEPARTMENT OF LABOR
IL
01
—
1619628
BCBS PROVIDER #
IL
01
—
363756275
TAX ID
IL
Enumeration date
07/05/2005
Last updated
06/10/2008
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