NPIMap

Organization Active NPI

William L. Judge Chiropractic Center, PC

  • Chiropractor
  • La Salle, IL
National Provider Identifier
1245384528
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004603 Issued in IL
Legal business name
WILLIAM L. JUDGE CHIROPRACTIC CENTER, PC
Practice address
130 3Rd St
La Salle, IL 61301-2312
Phone
(815) 223-0647
Fax
(815) 223-0987
NPI assigned
Jan 23, 2007
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Mr. William L. Judge, DCNPI 1073527461
Title
Doctor of Chiropractic, Owner
Phone
(815) 223-0647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-004603 IL Primary

Addresses

Primary practice location

130 3Rd St
La Salle, IL 61301-2312

Mailing address

130 3Rd St
La Salle, IL 61301-2312
Phone (815) 223-0647

Other identifiers 1

IdentifierTypeStateIssuer
038004603MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1245384528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 3RD ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012312",
            "telephone_number": "815-223-0647",
            "fax_number": "815-223-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 3RD ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012312",
            "telephone_number": "815-223-0647",
            "fax_number": "815-223-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. JUDGE CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC, OWNER",
        "authorized_official_telephone_number": "815-223-0647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038004603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Salle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.