Provider Demographics
NPI:1164611786
Name:HEMMER, WILLIAM G (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:HEMMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 S COURT ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TUSCOLA
Mailing Address - State:IL
Mailing Address - Zip Code:61953-2000
Mailing Address - Country:US
Mailing Address - Phone:217-253-2370
Mailing Address - Fax:217-253-6545
Practice Address - Street 1:902 S COURT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TUSCOLA
Practice Address - State:IL
Practice Address - Zip Code:61953-2000
Practice Address - Country:US
Practice Address - Phone:217-253-2370
Practice Address - Fax:217-253-6545
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-006250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL200955Medicare PIN
ILT39140Medicare UPIN