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NPI Code Detail

MEDICARE: TIMOTHY HIPSKIND

MEDICARE: TIMOTHY HIPSKIND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036072290IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265439640
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY HIPSKIND
Provider Business Mailing Address
First Line : 2100 MADISON AVE
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-4701
Country : US
Telephone Number : 618-798-3000
Fax Number : 618-798-3000
Provider Business Practice Location Address
First Line : 2100 MADISON AVE
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-4701
Country : US
Telephone Number : 618-798-3000
Fax Number : 618-798-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/15/2007

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Directions to “ TIMOTHY HIPSKIND ” Practice Location

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