Healthcare Provider Details

I. General information

NPI: 1962561241
Provider Name (Legal Business Name): TIMOTHY J MERTES AND MICHAEL D PILLER PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 ROCK ST SUITE F
PERU IL
61354-1385
US

IV. Provider business mailing address

2011 ROCK ST SUITE F
PERU IL
61354-1385
US

V. Phone/Fax

Practice location:
  • Phone: 815-224-8090
  • Fax: 815-224-8091
Mailing address:
  • Phone: 815-224-8090
  • Fax: 815-224-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. MICHAEL DONALD PILLER
Title or Position: OWNER
Credential: D.C., C.C.S.P.
Phone: 815-224-8090