Evan L Lipkis MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-063246 Issued in IL

Legal business name

EVAN L LIPKIS MD SC

Practice address

2150 Pfingsten Road
Suite 2200
Glenview, IL 60026

Phone

(847) 729-8833

Fax

(847) 729-8852

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott Reynolds

Title

Practice Manager

Phone

(847) 729-8833

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan L Lipkis, MD

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1770560757
  NPD

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1194772756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN ROAD",
            "address_2": "SUITE 2200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-729-8833",
            "fax_number": "847-729-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN ROAD",
            "address_2": "SUITE 2200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-729-8833",
            "fax_number": "847-729-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN L LIPKIS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-729-8833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-063246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "392830",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194772756",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Nicole Etheridge
• Mariam Ethezaz, OD
• John C Evans, M.D.
• Joshua T Evans
• Evolve Chiropractic Glenview PLLC
• Allison Ewing-Elias, LCSW
• Excelcare Connect, Inc.

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.