Individual provider Active NPI

Marzena Lipinska, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1487657078
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036095721 Issued in IL
Practice address
7447 W Talcott Ave Ste 216
Chicago, IL 60631-3713
Phone
(773) 631-0566
Fax
(774) 631-4436
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 036095721 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 216
Chicago, IL 60631-3713

Mailing address

7447 West Talcott Ave
Ste 216
Chicago, IL 60631-3713
Phone (773) 631-0566

Other identifiers 1

IdentifierTypeStateIssuer
036095721MedicaidIL

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
I20100115000820 IL Practitioner - Family Practice 2466594262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036095721ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers of Chicago SC Family Medicine CurrentSince May 5, 2014 Accepting new patients

Locations

7447 W Talcott Ave
Ste 216
Chicago, IL 60631
Phone (312) 631-0566

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487657078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 WEST TALCOTT AVE",
            "address_2": "STE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313713",
            "telephone_number": "773-631-0566",
            "fax_number": "773-631-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313713",
            "telephone_number": "773-631-0566",
            "fax_number": "774-631-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPINSKA",
        "first_name": "MARZENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095721",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.