Individual
ANTHONY J PIPITONE
Active
Individual
ANTHONY J PIPITONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105141
—
IL
01
—
L97245
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P00005551
MEDICARE RAILROAD
IL
Enumeration date
07/24/2006
Last updated
05/18/2013
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