Individual provider Active NPI

Eleonora Kul-Lipski, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1326093576
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042616880 Issued in IL
Practice address
7447 W Talcott Ave
Ste 269
Chicago, IL 60631-3718
Phone
(708) 456-3500
Fax
(708) 453-6907
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042616880 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Ste 269
Chicago, IL 60631-3718

Mailing address

7447 W Talcott Ave
Ste 269
Chicago, IL 60631-3718
Phone (708) 456-3500

Other identifiers 2

IdentifierTypeStateIssuer
01606450OtherBCBS
036089308MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ekullipski252933@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123001162 IL Practitioner - Family Practice 7315133857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 269
Chicago, IL 60631-3718
Phone (773) 930-4866

Hospital & facility affiliations

  • Guardian Angel Home Care of Park Ridge, Inc Home health agency, Park Ridge, IL, CCN 148011
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Holy Family Medical Center Long-term care hospital, Des Plaines, IL, CCN 142011
  • Ascension Resurrection Life Nursing home, Chicago, IL, CCN 145960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042616880ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eleonora Kul Lipski MD SC Family Medicine CurrentSince Nov 23, 2010 Accepting new patients

Locations

7447 W Talcott Ave
Ste 269
Chicago, IL 60631
Phone (773) 792-2727

4900 N Cumberland Ave
Ste B
Norridge, IL 60706

4900 N Cumberland Ave
Norridge, IL 60706
Phone (312) 456-1600

1001 N Greenwood Ave
Park Ridge, IL 60068
Phone (847) 685-2805

Interoperability endpoints

  • Direct secure messaging: ekullipski252933@direct.myadvocateaurora.org

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1326093576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313718",
            "telephone_number": "708-456-3500",
            "fax_number": "708-453-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313718",
            "telephone_number": "708-456-3500",
            "fax_number": "708-453-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUL-LIPSKI",
        "first_name": "ELEONORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042616880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01606450",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089308",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekullipski252933@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.