Individual provider Active NPI

Will A Zuhira, D.C.

  • Chiropractor
  • Peru, IL
National Provider Identifier
1407030901
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010923 Issued in IL
Practice address
944 4TH St
Peru, IL 61354-3614
Phone
(815) 410-4004
Fax
(815) 410-4006
NPI assigned
Dec 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010923 IL Primary

Addresses

Primary practice location

944 4TH St
Peru, IL 61354-3614

Mailing address

944 4TH St
Peru, IL 61354-3614
Phone (815) 410-4004

Other practice location 1

409 S Prospect Rd Ste E
Bloomington, IL 61704-4581
Phone (309) 807-3343

Other identifiers 1

IdentifierTypeStateIssuer
038010923MedicaidIL

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Medical Solutions, Inc. Chiropractor Past Accepting new patients
Nova Pain Spinal Care LLC Chiropractor Past Accepting new patients
Broadway Chiropractic Inc Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1407030901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543614",
            "telephone_number": "815-410-4004",
            "fax_number": "815-410-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543614",
            "telephone_number": "815-410-4004",
            "fax_number": "815-410-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Prospect Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617044581",
            "country_code": "US",
            "telephone_number": "309-807-3343",
            "fax_number": "309-807-3348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUHIRA",
        "first_name": "WILL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010923",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.