Eleonora Kul Lipski Md Sc | |
4900 N Cumberland Norridge IL 60706 | |
(708) 456-3500 | |
(708) 453-6907 |
Full Name | Eleonora Kul Lipski Md Sc |
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Speciality | Family Medicine |
Location | 4900 N Cumberland, Norridge, Illinois |
Authorized Official Name and Position | Eleonora Kul Lipski (MD) |
Authorized Official Contact | 7084563500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eleonora Kul Lipski Md Sc 4900 N Cumberland Norridge IL 60706 Ph: (708) 456-3500 | Eleonora Kul Lipski Md Sc 4900 N Cumberland Norridge IL 60706 Ph: (708) 456-3500 |
NPI Number | 1174541825 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 01/16/2008 |
Medicare PECOS PAC ID | 6305032830 |
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Medicare Enrollment ID | O20101123001042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174541825 | NPI | - | NPPES |
01606450 | Other | BCBS | |
036089308 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042616880 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036089308 (Illinois) | Primary |
Provider Name | Eleonora Kul Lipski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326093576 PECOS PAC ID: 7315133857 Enrollment ID: I20101123001162 |
Dx Medical And Physical Therapy Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 W Montrose Ave, Suite 1, Norridge, IL 60706 Phone: 708-452-5500 Fax: 708-452-5547 | |