Active NPI
Elizabeth Stipisic, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1962557983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008327
- Practice address
- 5316 B N Milwaukee Avenue
Chicago, IL 60630-1266 - Phone
- (773) 774-1041
- Fax
- (773) 774-8541
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038008327 | IL | Primary |
Addresses
Primary practice location
5316 B N Milwaukee Avenue
Chicago, IL 60630-1266
Mailing address
5316 B N Milwaukee Avenue
Chicago, IL 60630-1266
Phone (773) 774-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1630133 | Other | ID | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038008327 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1962557983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 B N MILWAUKEE AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301266",
"telephone_number": "773-774-1041",
"fax_number": "773-774-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 B N MILWAUKEE AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301266",
"telephone_number": "773-774-1041",
"fax_number": "773-774-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIPISIC",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038008327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1630133",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.