Active NPI
Carol Wills, RNFA
- Registered Nurse First Assistant
- Plainfield, IL
National Provider Identifier
1033510466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 041.259035
- Practice address
- 24600 W 127TH St
BLDG B, Ste 240
Plainfield, IL 60585-9507 - Phone
- (815) 267-8830
- NPI assigned
- Sep 4, 2014
- Last updated
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.259035 | IL | |
| Registered Nurse First Assistant | 163WR0006X | 041.259035 | IL | Primary |
Addresses
Primary practice location
24600 W 127TH St
BLDG B, Ste 240
Plainfield, IL 60585-9507
Mailing address
24600 W 127TH St
BLDG B, Ste 240
Plainfield, IL 60585-9507
Phone (815) 267-8830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.259035 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1033510466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BLDG B, STE 240",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-267-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 W 127TH ST",
"address_2": "BLDG B, STE 240",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859507",
"telephone_number": "815-267-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "CAROL",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.259035",
"primary": false
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "IL",
"license": "041.259035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
- Willow Therapeutics
- Willow Therapeutics, LTD
- Willowglen Academy (Broadstep Academy- Illinois Inc)
- Willowglen Academy (Broadstep Academy-Illinois Inc)
- Willowglen Academy (Broadstep Academy-Illinois Inc)
- Alyna Wilson
- Ryan M Wilson, PHARM.D
- Amber J Wishnevski, DDS
- Sarah Witt, M.S., AMFT
- Bethany Witte, MHS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.