Wayne A Tillman, DPM

NPI #1174698138 in Palos Park, Illinois

Provider Information

NPI Number: 1174698138
Entity Type: Individual
Name: Wayne A Tillman, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Nov 22, 2006
Last Updated: Nov 1, 2013

Practice Location

Address: 13011 S. 104TH AVE.
Address 2: SUITE 201
City: Palos Park
State: Illinois
ZIP Code: 60464-1512
Phone: (708) 923-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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