Organization
LIPOV MEDICAL SC
Active
Organization
LIPOV MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE LIPOV MD (PRESIDENT)
(312) 618-0829
Entity
Organization
Contact information
Practice address
1 E OAKHILL DR STE 100, WESTMONT, IL 60559-5540
(937) 838-0568
Mailing address
1 E OAKHILL DR STE 100, WESTMONT, IL 60559-5540
(937) 838-0568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/31/2023
Last updated
07/09/2025
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