Individual
DR. MELISA LYNN TILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4410 S PULASKI RD, CHICAGO, IL 60632-4011
(773) 254-3300
Mailing address
838 W DIVERSEY PKWY, 4W, CHICAGO, IL 60614-6227
(630) 779-0692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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