Active NPI
Evan L Lipkis, MD
- Internal Medicine Physician
- Glenview, IL
National Provider Identifier
1770560757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036063246
- Practice address
- 2150 Pfingsten Rd
Suite 2200
Glenview, IL 60026 - Phone
- (847) 729-8833
- Fax
- (847) 729-8852
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036063246 | IL | Primary |
Addresses
Primary practice location
2150 Pfingsten Rd
Suite 2200
Glenview, IL 60026
Mailing address
2150 Pfingsten Rd
Suite 2200
Glenview, IL 60026
Phone (847) 729-8833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770560757 | Other | IL | NPI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050228000037 | IL | Practitioner - Internal Medicine | 6709839574 | Practice locations: Glenview, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036063246 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evan L Lipkis MD SC | Internal Medicine | Current | Accepting new patients |
| Amazing Vitamins | Current | Accepting new patients |
Locations
2150 Pfingsten Rd
Glenview, IL 60026
Phone (847) 486-6550
2608 Patriot Blvd
Glenview, IL 60026
Phone (847) 729-0400
2150 Pfingsten Rd
Ste 2200
Glenview, IL 60026
Phone (847) 729-0400
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 and National Provider Directory roles.
-
- Clinic/Center
- Glenview, IL
- NPI 1720771660
-
- Internal Medicine Physician
- Glenview, IL
- NPI 1194772756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1770560757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PFINGSTEN RD",
"address_2": "SUITE 2200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60026",
"telephone_number": "847-729-8833",
"fax_number": "847-729-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PFINGSTEN RD",
"address_2": "SUITE 2200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60026",
"telephone_number": "847-729-8833",
"fax_number": "847-729-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPKIS",
"first_name": "EVAN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036063246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1770560757",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.