Individual
STEPHEN GREGORY HIPSKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
130 LINCOLN PLACE CT, BELLEVILLE, IL 62221-5884
(618) 257-2029
Mailing address
4500 MEMORIAL DRIVE- MEDICAL AFFAIR, CREDENTIALING DEPARTMENT, BELLEVILLE, IL 62226
(618) 257-4644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036126548
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036126548
IL
Other
Enumeration date
08/13/2007
Last updated
12/03/2015
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