Active NPI
Earl Charles Williams Jr., MD
- Emergency Medicine Physician
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036167126
- Practice address
- 875 S. Route 31
Crystal Lake, IL 60014 - Phone
- (815) 356-7494
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125-076961 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 036167126 | IL | Primary |
Addresses
Primary practice location
875 S. Route 31
Crystal Lake, IL 60014
Mailing address
875 South Route 31
Crystal Lake, IL 60014-7401
Phone (797) 220-5500
Other practice location 1
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2100
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Hospital & facility affiliations
- Sovah Health Danville
- CGH Medical Center
- Mercyhealth Hospital & Physician Clinic-Crystal la
- Heartland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Emergency Services Midwest SC | Emergency Medicine | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
Interoperability endpoints
- ewilliams23814@cghmc.direct-ci.com
- ewilliams107449@direct.mhemail.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
Emergency Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- General Acute Care Hospital
- Crystal Lake, IL
- NPI 1023754371
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1912561077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 SOUTH ROUTE 31",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147401",
"telephone_number": "797-220-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 S. ROUTE 31",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "60014",
"telephone_number": "815-356-7494"
}
],
"practiceLocations": [
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"fax_number": "815-943-0659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "EARL",
"middle_name": "CHARLES",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2023-10-20",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125-076961",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036167126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.