Organization Active NPI

Nancy S. Williams, MD SC

  • Family Medicine Physician
  • Rochelle, IL
National Provider Identifier
1871751560
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36057715 Issued in IL
Legal business name
NANCY S. WILLIAMS, MD SC
Practice address
1181 N 8TH St
Suite 1
Rochelle, IL 61068-2416
Phone
(815) 562-8735
Fax
(815) 562-2934
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Nancy S Williams, MD
Title
President
Phone
(815) 562-8735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36057715 IL Primary

Addresses

Primary practice location

1181 N 8TH St
Suite 1
Rochelle, IL 61068-2416

Mailing address

1181 N 8TH St
Rochelle, IL 61068-2416
Phone (815) 562-8735

Other identifiers 1

IdentifierTypeStateIssuer
036057715MedicaidIL

National Provider Directory

National Provider Directory

Locations

1181 N 8th St
Ste 1
Rochelle, IL 61068
Phone (815) 562-8735

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1871751560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 N 8TH ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610682416",
            "telephone_number": "815-562-8735",
            "fax_number": "815-562-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 N 8TH ST",
            "address_2": "SUITE 1",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610682416",
            "telephone_number": "815-562-8735",
            "fax_number": "815-562-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY S. WILLIAMS, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-562-8735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36057715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057715",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.