Active NPI
Neighborhood Pedicatrics SC
- Pediatric Adolescent Medicine Physician
- Olympia Fields, IL
National Provider Identifier
1730334764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 036070219
- Legal business name
- NEIGHBORHOOD PEDICATRICS SC
- Practice address
- 20200 Governors Dr
101
Olympia Fields, IL 60461-1032 - Phone
- (708) 481-5570
- NPI assigned
- Nov 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William G Klipfel, MD
- Title
- Owner/ Phyisican
- Phone
- (708) 481-5570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 036070219 | IL | Primary |
Addresses
Primary practice location
20200 Governors Dr
101
Olympia Fields, IL 60461-1032
Mailing address
20200 Governors Dr
101
Olympia Fields, IL 60461-1032
Phone (708) 481-5570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036070219 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
3235 Vollmer Rd
Ste 126
Flossmoor, IL 60422
Phone (708) 206-0105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226966400000",
"number": "1730334764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20200 GOVERNORS DR",
"address_2": "101",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611032",
"telephone_number": "708-481-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20200 GOVERNORS DR",
"address_2": "101",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611032",
"telephone_number": "708-481-5570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD PEDICATRICS SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A",
"authorized_official_last_name": "KLIPFEL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER/ PHYISICAN",
"authorized_official_telephone_number": "708-481-5570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.