John Tillis, D.M.D
NPI 1790728236 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7117 Crimson Ridge Dr
Suite 5
Rockford, IL 61107 - Phone
- (815) 395-0327
- Organisation at this address
- Dr Sarah E Hagarty, Llc
Simply Wellness Chiropractic, Llc
Directcare Physician Services, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois