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William Tillis

NPI 1669468377 · on the registry since 2005

Practice

Address
N2950 State Road 67
Lake Geneva, WI 53147
Phone
(262) 245-0535
Fax
(262) 245-2248
Organisation at this address
Mercy Health System Corporation
Mercy Health System Corporation
Mercy Health System Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
80

Additional practice sites

  • 1 Richland Medical Park Dr Ste 300, Columbia, SC
  • 1001 Main St, Peoria, IL
  • 1000 Mineral Point Ave, Janesville, WI
  • 903 Mineral Point Ave, Janesville, WI

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207RP1001X
207RP1001X
Licence states on file
SC, WI, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-14

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 Wisconsin