Basic Information
| Provider Information | |||||||||
| NPI: | 1770651556 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | LIPPMAN | ||||||||
| FirstName: | SHERI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2650 RIDGE AVE | ||||||||
| Address2: | EVANSTON HOSPITAL | ||||||||
| City: | EVANSTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 602011718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475701206 | ||||||||
| FaxNumber: | 8475701248 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 W END CT | ||||||||
| Address2: | SUITE 500 | ||||||||
| City: | VERNON HILLS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600611365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475228900 | ||||||||
| FaxNumber: | 8476806177 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2006 | ||||||||
| LastUpdateDate: | 12/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 036103667 | IL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.