STEPHEN A. LIPSCHULTZ MD
Osteopathic Medicine at Ridge Ave, Evanston, IL

License number
Illinois 036057892
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. STEPHEN ALAN LIPSCHULTZ MD
Title: OWNER
Phone: (847) 869-6200
Address
Address
2500 Ridge Ave, Evanston, IL 60201
National Provider ID: 1205023876
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHEN A. LIPSCHULTZ, M.D., S.C

Evanston, IL 60201

Status:
Inactive
Registration:
Oct 7, 1980
State ID:
52186919
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Richard Joel Lipschultz,25 E Washington #1221, Chicago, IL 60602 (Physical)

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