William Tillis
William Tillis is a Pulmonary Disease in Lake Geneva, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1986, 40 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois, South Carolina and Wisconsin.
- Years since qualifying
- 40
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- IL, SC, WI
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
N2950 State Road 67Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2248
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 1001 Main St, Peoria, IL 61606-1907 — (309) 672-5682
- 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 — (803) 545-5500
- 903 Mineral Point Ave, Janesville, WI 53548-2970 — (608) 752-6255
- 1000 Mineral Point Ave, Janesville, WI 53548-2982 — (608) 756-6868
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence 81911-20 (WI) |
|---|---|
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence 83330 (SC) |
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence 036085931 (IL) |
Record details
| NPI number | 1669468377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2005 |
| Last updated in NPPES | September 14, 2023 |
| Certification date | September 14, 2023 |
| Mailing address | N2950 State Road 67, Lake Geneva, WI 53147-2655 |
Medicare enrollment
| Medicare specialty | PULMONARY DISEASE |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1986 (40 years in practice) |
| Group practice | Mercy Health System Corporation — 751 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |