Individual provider Active NPI

Laurie S. Lipman, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1184711467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
333 E Huron St
JB VA Chicago-Lakeside, Psychiatry Dept., RM 158C
Chicago, IL 60611-3004
Phone
(312) 469-3763
NPI assigned
Oct 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

333 E Huron St
JB VA Chicago-Lakeside, Psychiatry Dept., RM 158C
Chicago, IL 60611-3004

Mailing address

333 E Huron St
Jbva Chicago-Lakeside, Psychiatry Dept., RM 158C
Chicago, IL 60611-3004
Phone (312) 469-3763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-086457ILMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184711467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E HURON ST",
            "address_2": "JBVA CHICAGO-LAKESIDE, PSYCHIATRY DEPT., RM 158C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113004",
            "telephone_number": "312-469-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E HURON ST",
            "address_2": "JB VA CHICAGO-LAKESIDE, PSYCHIATRY DEPT., RM 158C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113004",
            "telephone_number": "312-469-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPMAN",
        "first_name": "LAURIE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.