Individual
WILLIAM TILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036085931
IL
207RP1001X
Pulmonary Disease Physician
Primary
81911-20
WI
207RP1001X
Pulmonary Disease Physician
83330
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085931
—
IL
05
—
833307
—
SC
Enumeration date
09/27/2005
Last updated
09/14/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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