Active NPI
Tuscola Pain & Wellness Center SC
- Chiropractor
- Tuscola, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006250
- Legal business name
- TUSCOLA PAIN & WELLNESS CENTER SC
- Practice address
- 902 S Court Suite 2
Tuscola, IL 61953 - Phone
- (217) 253-2370
- Fax
- (217) 253-6545
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William G Hemmer, DC
- Title
- Owner
- Phone
- (217) 253-2370
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006250 | IL | Primary |
Addresses
Primary practice location
902 S Court Suite 2
Tuscola, IL 61953
Mailing address
902 S Court Suite 2
Tuscola, IL 61953
Phone (217) 253-2370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Functional Regenerative Services of Illinois LTD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Tuscola, IL
- NPI 1043891880
Locations
902 S Court St
Ste 2
Tuscola, IL 61953
Phone (217) 253-2370
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Tuscola, IL
- NPI 1164611786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1396856688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S COURT SUITE 2",
"city": "TUSCOLA",
"state": "IL",
"postal_code": "61953",
"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 SUITE 2",
"city": "TUSCOLA",
"state": "IL",
"postal_code": "61953",
"telephone_number": "217-253-2370",
"fax_number": "217-253-6545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSCOLA PAIN & WELLNESS CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A",
"authorized_official_last_name": "HEMMER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-253-2370",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038006250",
"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 Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.