Camille A Tillis

NPI #1952475501 in Oak Lawn, Illinois

Provider Information

NPI Number: 1952475501
Entity Type: Individual
Name: Camille A Tillis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4425 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-7221
Phone: (708) 422-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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