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SHACKELFORD CLINIC
NPI 1326034232
Family Medicine in Cerro Gordo, IL

Active since September 26, 2005
208 S JACKSON ST, CERRO GORDO, IL 62501(217) 763-5851(217) 763-2201 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shackelford Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHACKELFORD CLINIC (NPI 1326034232) is a healthcare organization registered as a family medicine in Cerro Gordo, Illinois and active in the NPI registry since September 2005. The organization lists William H Shackelford, Owner, as its authorized official.

NPPES Registry Identity

NPI1326034232
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLIAM H SHACKELFORD MD
Location Address208 S JACKSON STCerro Gordo, IL 62501
Mailing AddressPo Box 20Cerro Gordo, IL 61818-0020 · (217) 763-5851 · Fax (217) 763-2201
Phone(217) 763-5851
Fax(217) 763-2201
Organization SubpartNo
Authorized OfficialWilliam H ShackelfordOwner · (217) 763-5851
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326034232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
208 S JACKSON ST, Cerro Gordo, IL 62501
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Other Names 1

Other NameShackelford Clinic

Other Identifiers 2

Other0007423084IL · Blue Shield
Medicaid036034153-2IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William H Shackelford MD's NPI number?

The NPI number for William H Shackelford MD is 1326034232. It was assigned to this organization in the NPPES registry on September 26, 2005. The provider is also known as Shackelford Clinic.

Where is William H Shackelford MD located?

William H Shackelford MD is located at 208 S Jackson St, Cerro Gordo, IL 62501. The listed phone number is (217) 763-5851.

What is William H Shackelford MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for William H Shackelford MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.