William G. Klipfel, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

036070219 Issued in IL

Practice address

3235 Vollmer Rd Ste 126
Flossmoor, IL 60422-2040

Phone

(708) 679-0408

Fax

(708) 679-0488

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1184793044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 VOLLMER RD STE 126",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222040",
            "telephone_number": "708-679-0408",
            "fax_number": "708-679-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 VOLLMER RD STE 126",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222040",
            "telephone_number": "708-679-0408",
            "fax_number": "708-679-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIPFEL",
        "first_name": "WILLIAM",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036070219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070219",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Kelly
• Ryan Kelly, LCSW
• Tiffany Kimble, CLC
• Bernadette King
• Lakeisha Kirby, LPC
• Dale William Klooster, LCSW
• Rysa Shavonne Koch, M.A., LCPC
• Christopher Koenig, PA-C
• Kimberly Kramer, RD, LDN
• Margaret Krol, LCSW

• Pediatric Adolescent Medicine Physician in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Pediatric Adolescent Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.