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

Wayne A Tillman, DPM

Individual provider Podiatrist · NPI 1174698138

Wayne A Tillman, DPM is a Podiatry in Palos Park, Illinois. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

13011 S 104th Ave Ste 201
Palos Park, IL 60464-1512
Phone: (708) 923-0400
Fax: (708) 923-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016004926 (IL)

Record details

NPI number1174698138
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESNovember 1, 2013
Mailing address13011 S. 104th Ave., Suite 201, Palos Park, IL 60464-1512

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare