Provider Demographics
NPI:1619838281
Name:WILLIAMS CHIROPRACTIC OFFICE PLLC
Entity type:Organization
Organization Name:WILLIAMS CHIROPRACTIC OFFICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-267-0625
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:IL
Mailing Address - Zip Code:62801-9108
Mailing Address - Country:US
Mailing Address - Phone:618-532-7600
Mailing Address - Fax:
Practice Address - Street 1:315 N ELM ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:IL
Practice Address - Zip Code:62801-2954
Practice Address - Country:US
Practice Address - Phone:618-532-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty