Active NPI
Timothy Gordon Weech, D.C.
- Chiropractor
- Minonk, IL
National Provider Identifier
1477899805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012330
- Practice address
- 140 W 6TH St
Minonk, IL 61760 - Phone
- (309) 432-3508
- NPI assigned
- Dec 12, 2012
- Last updated
- Sep 29, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012330 | IL | Primary |
Addresses
Primary practice location
140 W 6TH St
Minonk, IL 61760
Mailing address
1002 S Timber LN
Eureka, IL 61530-1693
Phone (309) 648-9512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130211000115 | IL | Practitioner - Chiropractic | 0345494837 | Practice locations: Minonk, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 W 6TH St
Minonk, IL 61760-1220
Phone (309) 432-3508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012330 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1477899805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S TIMBER LN",
"city": "EUREKA",
"state": "IL",
"postal_code": "615301693",
"telephone_number": "309-648-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 6TH ST",
"city": "MINONK",
"state": "IL",
"postal_code": "61760",
"telephone_number": "309-432-3508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEECH",
"first_name": "TIMOTHY",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-12",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minonk, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.