Active NPI
William Eugene Swarner, LMT
- Massage Therapist
- Lake Villa, IL
National Provider Identifier
1265672364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 103 N Milwaukee Ave Apt C12
Lake Villa, IL 60046-8901 - Phone
- (224) 234-4667
- NPI assigned
- Mar 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
103 N Milwaukee Ave Apt C12
Lake Villa, IL 60046-8901
Mailing address
103 N Milwaukee Ave Apt C12
Lake Villa, IL 60046-8901
Phone (224) 234-4667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227.009878 | Other | IL | ILLINOIS LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1265672364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N MILWAUKEE AVE APT C12",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600468901",
"telephone_number": "224-234-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N MILWAUKEE AVE APT C12",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600468901",
"telephone_number": "224-234-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARNER",
"first_name": "WILLIAM",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE NUMBER",
"identifier": "227.009878",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Villa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.