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General NPI Number Information
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NPI Number | 1245721067
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Entity Type | Organization
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Legal Business Name | LIPNICK ORTHOPAEDICS S.C.
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 4856 OAKTON STREET
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 847-329-5000
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Fax | 847-329-0472
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Provider Business Mailing Address
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Address Line | 125 CRESCENT DR
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City | GLENCOE
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State | IL
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Zip | 60022-1303
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Country | US
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Telephone | 818-692-8929
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. SHERYL L LIPNICK
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Credential | DO
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Telephone | 818-692-8929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036117668
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License Number State | IL
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