Active NPI
Ana Stipisic, MD
- Body Imaging Physician
- Chicago, IL
National Provider Identifier
1174565774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Practice address
- 2233 W Division
Chicago, IL 60622 - Phone
- (312) 770-2180
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | IL | Primary |
Addresses
Primary practice location
2233 W Division
Chicago, IL 60622
Mailing address
1122 N Dearborn
Apt 23J
Chicago, IL 60610
Phone (312) 770-2180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Imagaing Professional LLC | Body Imaging | Past | Accepting new patients |
| Wellington Radiology Group, S.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Body Imaging Physician
- Chicago, IL
- NPI 1083712434
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1316057334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1174565774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 N DEARBORN",
"address_2": "APT 23J",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60610",
"telephone_number": "312-770-2180",
"fax_number": "312-770-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "312-770-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIPISIC",
"first_name": "ANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.