Active NPI
Michael Donald Piller, D.C.
- Sports Physician Chiropractor
- Peru, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Practice address
- 2011 Rock St
Suite F
Peru, IL 61354-1385 - Phone
- (815) 224-8090
- Fax
- (815) 224-8091
- NPI assigned
- Sep 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | IL | Primary |
Addresses
Primary practice location
2011 Rock St
Suite F
Peru, IL 61354-1385
Mailing address
2011 Rock St
Suite F
Peru, IL 61354-1385
Phone (815) 224-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5304 Williams Dr
Roscoe, IL 61073-7320
Phone (815) 623-3379
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009709 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Chiropractic Wellness, Inc | Current | Accepting new patients | |
| Timothy J Mertes and Michael D Piller Partners | Sports Physician | Current | Accepting new patients |
| Hulsebus Rockford Chiropractic | Past | Accepting new patients | |
| Kavai Chiropractic & Wellness Center | Past | Accepting new patients | |
| Karin Stoll, MSW, DCSW | Past | Accepting new patients | |
| Kauai Chiropractic and Wellness Center, LLC | Past | Accepting new patients | |
| New Life Health & Wellness LLC | Past | Accepting new patients |
Locations
2011 Rock St
Ste F
Peru, IL 61354
Phone (815) 224-8090
5304 Williams Dr
Roscoe, IL 61073
Phone (815) 623-3379
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Roscoe, IL
- NPI 1225378417
-
dba Mertes Piller Chiropractic
- Chiropractor
- Peru, IL
- NPI 1962561241
Sports Physician
-
- Chiropractor
- Rockford, IL
- NPI 1104931427
-
- Chiropractor
- Peru, IL
- NPI 1992402689
-
- Clinical Social Worker
- Lihue, HI
- NPI 1548636442
-
- Chiropractor
- Lihue, HI
- NPI 1841471653
-
- Chiropractor
- Lihue, HI
- NPI 1225042807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316044084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 ROCK ST",
"address_2": "SUITE F",
"city": "PERU",
"state": "IL",
"postal_code": "613541385",
"telephone_number": "815-224-8090",
"fax_number": "815-224-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 ROCK ST",
"address_2": "SUITE F",
"city": "PERU",
"state": "IL",
"postal_code": "613541385",
"telephone_number": "815-224-8090",
"fax_number": "815-224-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLER",
"first_name": "MICHAEL",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peru, IL
- Constantino Perales Jr., M.D.
- Peru Elem School District 124
- Peru Emergency Physicians, LLP
- Peru Primary Care Professionals LLC
- Peru Volunteer Ambulance Service Inc
- Plattner Orthopedic Company (Hanger Clinic Plattner)
- Plattner Pedorthic Services
- Julie Pleskovitch, RPH
- Torie Ploch, COTA
- Andrea V Politsch, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.