Individual provider Active NPI

William G Hemmer, DC

  • Chiropractor
  • Tuscola, IL
National Provider Identifier
1164611786
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-006250 Issued in IL
Practice address
902 S Court St
Suite 2
Tuscola, IL 61953-2000
Phone
(217) 253-2370
Fax
(217) 253-6545
NPI assigned
Oct 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-006250 IL Primary

Addresses

Primary practice location

902 S Court St
Suite 2
Tuscola, IL 61953-2000

Mailing address

902 S Court St
Suite 2
Tuscola, IL 61953-2000
Phone (217) 253-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000569 IL Practitioner - Chiropractic 1658469457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

902 S Court St
Suite 2
Tuscola, IL 61953-2009
Phone (217) 253-2370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-006250ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscola Pain & Wellness Center SC Chiropractor CurrentSince Apr 1, 2002 Accepting new patients
Functional Regenerative Services of Illinois LTD LLC Past Accepting new patients

Locations

902 S Court St
Ste 2
Tuscola, IL 61953
Phone (217) 253-2370

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1164611786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S COURT ST",
            "address_2": "SUITE 2",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619532000",
            "telephone_number": "217-253-2370",
            "fax_number": "217-253-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S COURT ST",
            "address_2": "SUITE 2",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619532000",
            "telephone_number": "217-253-2370",
            "fax_number": "217-253-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscola, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.