Gerald Klompien, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36045856 Issued in IL

Practice address

4700 W 95TH St
Ste 308
Oak Lawn, IL 60453

Phone

(708) 425-6370

Fax

(708) 425-6416

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1326109232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "STE 308",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-425-6370",
            "fax_number": "708-425-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "STE 308",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-425-6370",
            "fax_number": "708-425-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOMPIEN",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "36045856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serguei V Kishkurno, MD
• Dhadon Hannah Klein, MD
• Sarah Serviss Klein, D.O.
• Clifford Joseph Klimas, DO
• Suzanne Klimowski
• Melanie Klus
• Kristin Nicole Klutcharch, DMD
• Natalie Kmetuk, DO
• Kelly Kathleen Knapczyk, LCPC
• Daniel Jeffrey Knapp Jr.

• Surgery Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.