Provider Demographics
NPI:1184793044
Name:KLIPFEL, WILLIAM G (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:KLIPFEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3235 VOLLMER RD STE 126
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2040
Mailing Address - Country:US
Mailing Address - Phone:708-679-0408
Mailing Address - Fax:708-679-0488
Practice Address - Street 1:3235 VOLLMER RD STE 126
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2040
Practice Address - Country:US
Practice Address - Phone:708-679-0408
Practice Address - Fax:708-679-0488
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2024-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0360702192080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036070219Medicaid
IL036070219Medicaid