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1790728236
JOHN BARRY TILLIS
ROCKFORD, IL
NPI
1790728236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-019019783)
Enumeration Date
2006-06-13
Last Update Date
2007-08-28
Business Address
Dr. JOHN BARRY TILLIS d.m.d.
7117 CRIMSON RIDGE DR SUITE 5
ROCKFORD, IL 61107-6208
Phone number: 815-395-0327
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Mailing Address
Dr. JOHN BARRY TILLIS d.m.d.
7117 CRIMSON RIDGE DR. SUITE 5
ROCKFORD, IL 61107
Phone number: 815-395-0327
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