JOHN BARRY TILLIS

ROCKFORD, IL
NPI1790728236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019-019019783)
Enumeration Date2006-06-13
Last Update Date2007-08-28
Business Address
Dr. JOHN BARRY TILLIS d.m.d.
7117 CRIMSON RIDGE DR SUITE 5
ROCKFORD, IL 61107-6208
Phone number: 815-395-0327
Mailing Address
Dr. JOHN BARRY TILLIS d.m.d.
7117 CRIMSON RIDGE DR. SUITE 5
ROCKFORD, IL 61107
Phone number: 815-395-0327