Active NPI
Eric P Williams, DC
- Chiropractor
- Lisle, IL
National Provider Identifier
1457425225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 1617 Ogden Ave Ste 6
Williams Chiropractic Center
Lisle, IL 60532-1980 - Phone
- (630) 969-1780
- Fax
- (630) 969-1864
- NPI assigned
- Nov 20, 2006
- Last updated
- Dec 7, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
1617 Ogden Ave Ste 6
Williams Chiropractic Center
Lisle, IL 60532-1980
Mailing address
1617 Ogden Ave
Suite 6
Lisle, IL 60532-1200
Phone (630) 969-1780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080220000514 | IL | Practitioner - Chiropractic | 2567546146 | Practice locations: Lisle, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1617 Ogden Ave
6 Williams Chiropractic Center
Lisle, IL 60532-1980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038006435 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1457425225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 OGDEN AVE",
"address_2": "SUITE 6",
"city": "LISLE",
"state": "IL",
"postal_code": "605321200",
"telephone_number": "630-969-1780",
"fax_number": "630-969-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 OGDEN AVE STE 6",
"address_2": "WILLIAMS CHIROPRACTIC CENTER",
"city": "LISLE",
"state": "IL",
"postal_code": "605321980",
"telephone_number": "630-969-1780",
"fax_number": "630-969-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERIC",
"middle_name": "P",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.