Individual
DR. EDWARD W LIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2088 OGDEN AVE, SUITE 160, AURORA, IL 60504-4376
(630) 851-6440
(630) 851-7001
Mailing address
2088 OGDEN AVE STE 160, AURORA, IL 60504-4383
(630) 851-6440
(630) 851-7001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036103351
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036103351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103351
—
IL
01
—
P00289948
MEDICARE RAILROAD
IL
Enumeration date
06/08/2006
Last updated
07/20/2020
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