Active NPI
Christine Ruth Lipinski, M.D.
- Pediatrics Physician
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.135120
- Practice address
- 430 Pennsylvania Ave Ste 210
Glen Ellyn, IL 60137-4464 - Phone
- (630) 469-7700
- Fax
- (630) 545-7851
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.135120 | IL | Primary |
| Pediatrics Physician | 208000000X | 125-059582 | IL |
Addresses
Primary practice location
430 Pennsylvania Ave Ste 210
Glen Ellyn, IL 60137-4464
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
1645 W Jackson Blvd Ste 200
Chicago, IL 60612-3227
Phone (312) 942-6000 ext. 3904
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clipinski48660@dulyhealthandcare.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.135120 | IL | MD | Pediatrics Physician |
| 125-059582 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
220 Springfield Dr
Ste 330
Bloomingdale, IL 60108
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
430 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 545-7576
430 Pennsylvania Ave
Ste 210
Glen Ellyn, IL 60137
Phone (630) 469-7700
150 E Willow Ave
Ste 300
Wheaton, IL 60187
Phone (630) 469-7700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1528352358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 PENNSYLVANIA AVE STE 210",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374464",
"telephone_number": "630-469-7700",
"fax_number": "630-545-7851"
}
],
"practiceLocations": [
{
"address_1": "1645 W Jackson Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123227",
"country_code": "US",
"telephone_number": "312-942-6000 x3904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPINSKI",
"first_name": "CHRISTINE",
"middle_name": "RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.135120",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125-059582",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clipinski48660@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "430 Pennsylvania Ave Ste 210",
"city": "Glen Ellyn",
"state": "IL",
"country_code": "US",
"postal_code": "601374464",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.