Organization Active NPI

Wills Integrated Health LLC

  • General Practice Physician
  • Rochelle, IL
National Provider Identifier
1043757107
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WILLS INTEGRATED HEALTH LLC
Practice address
102 Maple Ave
Rochelle, IL 61068-8926
Phone
(815) 562-5333
Fax
(815) 562-5833
NPI assigned
Jan 27, 2017
Last updated
Jan 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Wills
Title
Owner
Phone
(815) 562-5333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

102 Maple Ave
Rochelle, IL 61068-8926

Mailing address

102 Maple Ave
Rochelle, IL 61068-8926
Phone (815) 562-5333

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1043757107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAPLE AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688926",
            "telephone_number": "815-562-5333",
            "fax_number": "815-562-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAPLE AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688926",
            "telephone_number": "815-562-5333",
            "fax_number": "815-562-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLS INTEGRATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-562-5333"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.