Individual provider Active NPI

Lauren Natalie Wills, D.C.

  • Sports Physician Chiropractor
  • Sterling, IL
National Provider Identifier
1659652196
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038013101 Issued in IL
Practice address
1710 E 1St St
Sterling, IL 61081-2902
Phone
(815) 875-7917
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 038013101 IL Primary

Addresses

Primary practice location

1710 E 1St St
Sterling, IL 61081-2902

Mailing address

1710 E 1St St
Sterling, IL 61081-2902
Phone (815) 875-7917

Other practice location 1

2000 30th St
Ste G
Boulder, CO 80301-1117
Phone (309) 751-7454

Other practice location 2

18573 Pennington Rd
Sterling, IL 61081-9505
Phone (815) 875-7917

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

LicenseStateTypeSpecialty
038013101ILMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1659652196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E 1ST ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610812902",
            "telephone_number": "815-875-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E 1ST ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610812902",
            "telephone_number": "815-875-7917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 30th St",
            "address_2": "Ste G",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011117",
            "country_code": "US",
            "telephone_number": "309-751-7454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18573 Pennington Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610819505",
            "country_code": "US",
            "telephone_number": "815-875-7917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS",
        "first_name": "LAUREN",
        "middle_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038013101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.