Stephen a. Lipschultz MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036057892 Issued in IL

Legal business name

STEPHEN A. LIPSCHULTZ MD

Practice address

2500 Ridge Ave
Evanston, IL 60201-4577

Phone

(847) 869-6200

Fax

(847) 869-6808

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Alan Lipschultz, MD

Title

Owner

Phone

(847) 869-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1205023876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014577",
            "telephone_number": "847-869-6200",
            "fax_number": "847-869-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014577",
            "telephone_number": "847-869-6200",
            "fax_number": "847-869-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. LIPSCHULTZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "LIPSCHULTZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-869-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036057892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Evanston, IL
• Providers in Evanston, 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 Oct 1, 2007; 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.