Individual
DANIEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17297 WILDE AVE UNIT 108, PARKER, CO 80134-5626
(312) 659-3445
Mailing address
17297 WILDE AVE UNIT 108, PARKER, CO 80134-5626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085012040
IL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
02/23/2026
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