Healthcare Provider Details

I. General information

NPI: 1497635809
Provider Name (Legal Business Name): SARA KLIMPEL PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11921 S CICERO AVE
ALSIP IL
60803-2320
US

IV. Provider business mailing address

8932 W 140TH ST APT 2B
ORLAND PARK IL
60462-2247
US

V. Phone/Fax

Practice location:
  • Phone: 708-579-4900
  • Fax:
Mailing address:
  • Phone: 708-579-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number160.009641
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: