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Wayne A Tillman, DPM
Podiatrist in Palos Park, Illinois
NPI 1174698138

Wayne A Tillman is a Podiatrist based in Palos Park, IL. Wayne A Tillman practices in Palos Park, IL and has the professional credentials of DPM. The NPI Number for Wayne A Tillman is 1174698138 and holds a License No. 016004926 (Illinois).

The current practice location address for Wayne A Tillman is 13011 S. 104Th Ave., Palos Park, IL and can be reached out via phone at 708-923-0400 and via fax at 708-923-0600.

Location: 13011 S. 104Th Ave., Palos Park, IL, 60464-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174698138
Provider Name
Wayne A Tillman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
13011 S. 104Th Ave., Palos Park, IL, 60464-1512
Phone Number
708-923-0400
Fax Number
708-923-0600
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2700614 01 IL UHC
1626136 01 IL BCBS
4861340001 01 IL DMGRC
480034104 01 IL RAILROAD MC
institution
Provider Business Practice Location Address Details
Address
13011 S. 104Th Ave.
City
Palos Park
State
Illinois
Zip
60464-1512
Phone Number
708-923-0400
Fax Number
708-923-0600
person
Provider Business Mailing Address Details
Address
13011 S. 104Th Ave.
City
Palos Park
State
Illinois
Zip
60464-1512
Phone Number
708-923-0400
Fax Number
708-923-0600
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016004926 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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