Active NPI
Willareth Clinic of Chiropractic LTD.
- Chiropractor
- Morris, IL
National Provider Identifier
1013210152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC38-3315
- Legal business name
- WILLARETH CLINIC OF CHIROPRACTIC LTD.
- Practice address
- 118 E. Jackson St
Morris, IL 60450-1891 - Phone
- (815) 942-5350
- Fax
- (815) 942-5414
- NPI assigned
- Dec 13, 2010
- 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. Glenn C Willareth, DC
- Title
- Pres
- Phone
- (815) 942-5350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC38-3315 | IL | Primary |
Addresses
Primary practice location
118 E. Jackson St
Morris, IL 60450-1891
Mailing address
118 E. Jackson St
Morris, IL 60450-1891
Phone (815) 942-5350
National Provider Directory
National Provider DirectoryLocations
118 E Jackson St
Morris, IL 60450
Phone (815) 791-4089
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Morris, IL
- NPI 1881829273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292198400000",
"number": "1013210152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E. JACKSON ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501891",
"telephone_number": "815-942-5350",
"fax_number": "815-942-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E. JACKSON ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501891",
"telephone_number": "815-942-5350",
"fax_number": "815-942-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLARETH CLINIC OF CHIROPRACTIC LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-13",
"last_updated": "2010-12-13",
"status": "A",
"authorized_official_last_name": "WILLARETH",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "815-942-5350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "DC38-3315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.