Active NPI
Lauren Natalie Wills, D.C.
- Sports Physician Chiropractor
- Sterling, IL
National Provider Identifier
1659652196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038013101
- 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
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038013101 | IL | MD | Sports 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.