Individual provider Active NPI

William Ellis IX, D.C.

  • Chiropractor
  • Morton, IL
National Provider Identifier
1588940258
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012295 Issued in IL
Practice address
1101 W Jackson St # a
Morton, IL 61550-1559
Phone
(309) 321-8412
Fax
(309) 321-8340
NPI assigned
Oct 26, 2011
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4213 OH
Chiropractor 111N00000X 038.012295 IL Primary

Addresses

Primary practice location

1101 W Jackson St # a
Morton, IL 61550-1559

Mailing address

1101 W Jackson St # a
Morton, IL 61550-1559
Phone (309) 321-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902002281 IL Practitioner - Chiropractic 5991922361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1101 W Jackson St
Suite a
Morton, IL 61550-1559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012295ILMDChiropractor
4213OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Wellness Chiropractic S Corp Chiropractor CurrentSince Jan 1, 2013 Accepting new patients

Locations

1101 W Jackson St
Ste A
Morton, IL 61550
Phone (309) 321-8412

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1588940258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W JACKSON ST # A",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501559",
            "telephone_number": "309-321-8412",
            "fax_number": "309-321-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W JACKSON ST # A",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501559",
            "telephone_number": "309-321-8412",
            "fax_number": "309-321-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "WILLIAM",
        "name_suffix": "IX",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4213",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.

Verify at the official NPI Registry.