Individual provider Active NPI

Evan L Lipkis, MD

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1770560757
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036063246 Issued in IL
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

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1770560757OtherILNPI

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
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

LicenseStateTypeSpecialty
036063246ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evan L Lipkis MD SC Internal Medicine CurrentSince Sep 1, 1986 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.

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

Verify at the official NPI Registry.