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Individual

DR. TRAVIS J HILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 MEMORIAL DR, DEPT RADIOLOGY, BELLEVILLE, IL 62226-5360
(618) 257-5613
(314) 454-4641
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 257-5613
(314) 454-4641

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036163184
IL
2085R0202X
Diagnostic Radiology Physician
340388
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209214907
MO
Enumeration date
10/03/2006
Last updated
04/30/2026
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