Stacy Wills

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010004 Issued in IL

Legal business name

STACY WILLS

Doing business as

Wills Chiropractic Wellness Center

Practice address

102 Maple Ave
Rochelle, IL 61068-8926

Phone

(815) 562-5333

Fax

(815) 562-5833

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Faye Wills, DC

Title

Owner

Phone

(815) 562-5333

Specialties & licenses 1

Addresses

Other names 1

• Wills Chiropractic Wellness Center Doing business as

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1639200223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAPLE AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688926",
            "telephone_number": "815-562-5333",
            "fax_number": "815-562-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAPLE AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688926",
            "telephone_number": "815-562-5333",
            "fax_number": "815-562-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY WILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-562-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wills Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.