Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Willis

Individual provider Acute Care Nurse Practitioner · NPI 1770363178

Brian Willis is a Nurse Practitioner in Chicago, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2023, 3 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

1801 W Taylor St
Chicago, IL 60612-4795
Phone: (866) 600-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E Woodfield Rd Ste 113, Schaumburg, IL 60173-4786 — (847) 686-6866

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209028421 (IL)

Record details

NPI number1770363178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1801 W Taylor St, Chicago, IL 60612-4795

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2023 (3 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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