ANA STIPISIC MD, NPI 1174565774 — CHICAGO (IL)

NPI 1174565774

13+ Years Experience Individual

ANA STIPISIC MD

06.11.2006
PROVIDER ENUMERATION DATE
04/14/2008
LAST UPDATE DATE
1174565774
NPI NUMBER

About ANA STIPISIC

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ANA STIPISIC is a provider established in CHICAGO, IL. The NPI number of ANA STIPISIC is 1174565774 and was assigned on 06.11.2006. The practitioners primary taxonomy code is: 2085B0100X IL .

Mailing address

  • City: CHICAGO
  • State: IL
  • Postal code: 60610
  • Phone: 3127702180
  • Fax: 3127702161
  • Address: 1122 N DEARBORN
  • Address 2: APT 23J

Primary Practice Address

  • Region : CHICAGO, IL
  • NPI : 1174565774
  • Phone : 3127702180
  • Postalcode : 60622
  • Address : 2233 W DIVISION

Provider taxonomy - Radiology

  • Taxonomy code: 2085B0100X
  • License state: IL

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A Radiology doctor of Osteopathy that specializes in Body Imaging.

Contacts:

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  • ANA STIPISIC MD
  • Address : 2233 W DIVISION
  • Region : CHICAGO, IL
  • NPI : 1174565774
  • Phone : 3127702180
  • Postalcode : 60622

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address2233 W DIVISION
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCHICAGO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameIL
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code60622
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3127702180
The telephone number associated with the location address of the provider being identified.
NPI1174565774
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12085B0100X
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider Enumeration Date06.11.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated04/14/2008
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ANA STIPISIC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1122 N DEARBORN
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressAPT 23J
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameCHICAGO
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameIL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code60610
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3127702180
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3127702161
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #12085B0100X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiology
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider License Number State Code 1IL
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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