Individual provider Active NPI

Earl Charles Williams Jr., MD

  • Emergency Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1912561077
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036167126 Issued in IL
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

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231120001076 IL Practitioner - Emergency Medicine 2062839707 Reassigns benefits to 6 organizations
I20241220003499 KY Practitioner - Emergency Medicine 2062839707 Reassigns benefits to 2 organizations
I20250228000637 VA Practitioner - Emergency Medicine 2062839707 Reassigns benefits to 1 organization

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
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

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 Hospital, Danville, VA, CCN 490075
  • CGH Medical Center Hospital, Sterling, IL, CCN 140043
  • Mercyhealth Hospital & Physician Clinic-Crystal la Hospital, Crystal Lake, IL, CCN 140308
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Oct 2, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 2, 2023 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Mar 2, 2025 Accepting new patients
CGH Medical Center CurrentSince Jul 14, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 28, 2025 Accepting new patients
CGH Medical Center CurrentSince Jul 14, 2025 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Dec 19, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 23, 2026 Accepting new patients
Baptist Health Deaconess Medical Group Inc Emergency Medicine CurrentSince Dec 19, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 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

  • Direct secure messaging: ewilliams23814@cghmc.direct-ci.com
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.