Active NPI
William Eric Hestrup, D.C.
- Chiropractor
- Saint Charles, IL
National Provider Identifier
1659377273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-004354
- Practice address
- 525 Tyler Rd
Suite a
Saint Charles, IL 60174-3305 - Phone
- (630) 377-3202
- Fax
- (630) 443-3209
- NPI assigned
- Jun 28, 2005
- 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 | 038-004354 | IL | Primary |
Addresses
Primary practice location
525 Tyler Rd
Suite a
Saint Charles, IL 60174-3305
Mailing address
525 Tyler Rd
Suite a
Saint Charles, IL 60174-3305
Phone (630) 377-3202
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4293603 | Other | IL | AETNA |
| 10639362 | Other | CAQH CREDENTIALING | |
| 130694 | Other | ACN GROUP | |
| 3329275002 | Other | IL | CIGNA HEALTHCARE |
| 350023884 | Other | IL | RAILROAD MEDICARE |
| 4582044 | Other | IL | BLUE CROSS & BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-004354 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1659377273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 TYLER RD",
"address_2": "SUITE A",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601743305",
"telephone_number": "630-377-3202",
"fax_number": "630-443-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TYLER RD",
"address_2": "SUITE A",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601743305",
"telephone_number": "630-377-3202",
"fax_number": "630-443-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTRUP",
"first_name": "WILLIAM",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-004354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4293603",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH CREDENTIALING",
"identifier": "10639362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "130694",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3329275002",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350023884",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "4582044",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.