Active NPI
Alex B Lipowich MD SC
- Obstetrics & Gynecology Physician
- Elk Grove Village, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036086690
- Legal business name
- ALEX B LIPOWICH MD SC
- Practice address
- 800 Biesterfield Rd
Suite 2004
Elk Grove Village, IL 60007-3311 - Phone
- (847) 437-9505
- Fax
- (847) 981-5572
- NPI assigned
- Jul 14, 2006
- Last updated
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Walzak, OFFICE MANAGER
- Title
- Office Manager
- Phone
- (847) 437-9505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036086690 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Suite 2004
Elk Grove Village, IL 60007-3311
Mailing address
800 Biesterfield Rd
Suite 2004
Elk Grove Village, IL 60007-3311
Phone (847) 437-9505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622277 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036086690 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
800 Biesterfield Rd
Ste 102
Elk Grove Village, IL 60007
Phone (847) 364-0040
800 Biesterfield Rd
Ste 2004
Elk Grove Vlg, IL 60007
Phone (847) 437-9505
850 Biesterfield Rd
Ste 2004
Elk Grove Vlg, IL 60007
Phone (847) 437-9505
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Arlington Heights, IL
- NPI 1083640734
-
- Obstetrics & Gynecology Physician
- Bloomingdale, IL
- NPI 1710930276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1669498648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "SUITE 2004",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073311",
"telephone_number": "847-437-9505",
"fax_number": "847-981-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "SUITE 2004",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073311",
"telephone_number": "847-437-9505",
"fax_number": "847-981-5572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX B LIPOWICH MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "WALZAK",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "847-437-9505",
"authorized_official_credential": "OFFICE MANAGER"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036086690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1622277",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086690",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.