Provider Demographics
NPI:1548248438
Name:LIPKIS, SHEREE B (MD)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:B
Last Name:LIPKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2608 PATRIOT BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8024
Mailing Address - Country:US
Mailing Address - Phone:847-729-0400
Mailing Address - Fax:847-730-5733
Practice Address - Street 1:2150 PFINGSTEN RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-729-0400
Practice Address - Fax:847-730-5733
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-063206207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1548248438OtherNPI
ILL71411Medicare PIN
IL1548248438OtherNPI