Physician Compare National (NPI:1326093576)

HEALTHCARE PROVIDER: ELEONORA KUL-LIPSKI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326093576
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315133857
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101123001162
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KUL LIPSKI
	Individual professional last name
Provider First Name	ELEONORA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7447 W TALCOTT AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 269
	Group Practice or individual's line 2 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606313718
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140117
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PRESENCE RESURRECTION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140223
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVOCATE LUTHERAN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y