| Stephen A. Lipschultz Md | |
|
2500 Ridge Ave Evanston IL 60201-4577 | |
| (847) 869-6200 | |
| (847) 869-6808 |
| Full Name | Stephen A. Lipschultz Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Ridge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Stephen Alan Lipschultz (OWNER) |
| Authorized Official Contact | 8478696200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A. Lipschultz Md 2500 Ridge Ave Evanston IL 60201-4577 Ph: (847) 869-6200 | Stephen A. Lipschultz Md 2500 Ridge Ave Evanston IL 60201-4577 Ph: (847) 869-6200 |
| NPI Number | 1205023876 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205023876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036057892 (Illinois) | Primary |
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