Robert Cipolla
Individual provider Active NPI Family Medicine Physician · Clinton, IL
NPI 1649370271 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649370271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 1231 Kleemann Dr
Clinton, IL 61727-2633 - Phone
- (217) 935-5022
- Fax
- (217) 935-9592
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068758 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Cole Memorial Hospital D/B/a Upmc Cole | Past | Accepting new patients | |
| Charles Cole Memorial D/B/a Upmc Cole | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Yes |
Addresses
Primary practice location
1231 Kleemann Dr
Clinton, IL 61727-2633
Mailing address
1231 Kleemann Dr
Clinton, IL 61727-2633
Phone (217) 935-5022
Other providers in Clinton, IL
- Theresa Agnes Calvert
- Cheryl A Carmack
- Cdonnan Enterprises LLC
- Randolph Christianson
- CHW Physical Therapy PC
- City of Clinton
- City of Clinton
- City of Clinton
- City of Clinton
- City of Clinton
All providers in Clinton, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.