Provider Demographics
NPI:1588741805
Name:ZIPP, MARIA P (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:P
Last Name:ZIPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:111 S WASHINGTON AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4203
Mailing Address - Country:US
Mailing Address - Phone:847-825-3030
Mailing Address - Fax:847-518-8098
Practice Address - Street 1:111 S WASHINGTON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4203
Practice Address - Country:US
Practice Address - Phone:847-825-3030
Practice Address - Fax:847-518-8098
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036069111207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL157871031904OtherHUMANA
IL0004074954OtherAETNA
ILP507217-P507217AOtherOHI INC
ILPR22340710001OtherCIGNA
IL31602057OtherBCBS PROVIDER#
ILIL9999OtherMUTUAL OF OMAHA CO
ILC48120Medicare UPIN
IL110020378Medicare ID - Type UnspecifiedRR MEDICARE
IL157871031904OtherHUMANA