DR. PAUL JAY WILLIS


Address: 4709 Golf Rd, #1005, Skokie, IL 60076-1231
Phone: 8476772404

DR. PAUL JAY WILLIS (NPI# 1699864322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699864322
Entity Type Individual
Full Name DR. PAUL JAY WILLIS
Credential DDS
Practice Address 4709 Golf Rd
#1005
Skokie
IL 60076-1231
Practice Telephone 8476772404
Practice Fax Number 8476777432
Mailing Telephone 8476772404
Mailing Fax Number 8476777432
Enumeration Date 2006-10-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL PRACTICE NPI 1689765679 01

Other Providers PAUL WILLIS

NPI Name Taxonomy Address Enumeration
1376830653 Paul William Willis Pharmacist 807 S. Main St., Yreka, CA 96097 2011-07-07
1114959376 Paul D Willis Technician/Technologist 3131 Pio Nono Ave, Macon, GA 31206-3027 2006-07-07
1518909761 Paul William Willis Jr. Family Medicine 1305 W. Arrow Hwy., Ste.106, San Dimas, CA 91773 2006-06-12
1780230615 Paul Willis Behavior Technician 912 Ne Kelly Ave, Gresham, OR 97030-5629 2019-08-15
1649603390 Paul S Willis Hospitalist 13652 Cantara St, Panorama City, CA 91402-5423 2013-08-16
1235408477 Paul V Willis Physical Medicine & Rehabilitation 750 E Walker St Ste A, Orland, CA 95963-2222 2011-12-16
1083718217 Paul S Willis Psychiatry & Neurology 317 W Pueblo St, Santa Barbara, CA 93105-4355 2006-09-08
1104835180 Paul M Willis Specialist 27 Heckel Rd, Suite 213, Mc Kees Rocks, PA 15136-1616 2006-08-07
1184614703 Paul L Willis Emergency Medicine 60 Hospital Rd, Leominster, MA 01453-2205 2005-10-25

Office Location

Street Address 4709 GOLF RD
#1005
City SKOKIE
State IL
Zip Code 60076-1231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184619785 Harry M Goldin Specialist 4709 Golf Rd, 1000, Skokie, IL 60076-1231 2005-09-20
1902339369 Abt Dental Associates LLC Dentist 4709 Golf Rd, Ste 1005, Skokie, IL 60076-1231 2017-04-04
1932642238 Patrick Rice Physician Assistant 4709 Golf Rd, Skokie, IL 60076-1231 2016-11-18
1861862344 Maximilian Reinke Physical Therapist 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 2015-09-28
1811371990 Orthopaedics & Rheumatology of The North Shore Clinic/Center 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 2015-07-17
1952793739 Retina Care, LLC Ophthalmology 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 2015-03-03
1114325792 Beth Funk, Psy.d, LLC Psychologist 4709 Golf Rd, Ste 1150, Skokie, IL 60076-1231 2014-12-12
1548667165 Orthopaedics of The North Shore Internal Medicine 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 2014-11-25
1841600020 Ashley Drew Kauffman Dentist 4709 Golf Rd, Suite 1005, Skokie, IL 60076-1231 2014-04-28
1245669076 Carolyn A. Barsano, Psy. D. LLC Psychologist 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 2013-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
1336798255 Renee Rosenberg Speech-Language Pathologist C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 2019-09-04
1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972068062 Brighter Smile Dentistry, P.C. Dentist 4836 Main St Ste 1, Skokie, IL 60077-2594 2019-02-04
1093219784 Joan C Wang Dentist 4709 Golf Rd Ste 804, Skokie, IL 60076-1258 2018-03-19
1659816155 Village Crossing Dentistry Ltd Dentist 7133 Central Ave, Skokie, IL 60077-3275 2016-12-20
1992151518 Lavi Zaret Dentist 4711 Golf Rd Ste 550, Skokie, IL 60076-1269 2016-05-12
1720497266 University Dental Associates Dentist 5215 Old Orchard Rd Ste 200, Skokie, IL 60077-1041 2014-08-08
1629203302 Mengyu Tsai Dds Ltd Dentist 9530 Lowell Ave, Skokie, IL 60076-1465 2009-05-24
1154555142 Jessie Kunnel Dentist 9933 Lawler Ave Ste 401, Skokie, IL 60077-3726 2009-05-06
1679707616 Asher S Gelman Dentist 9138 Four Winds Way, Skokie, IL 60076-1753 2009-05-05
1255590030 Douglas R. Hasegawa Dentist 3347 Dempster St, Skokie, IL 60076-2411 2008-06-05
1679740534 Constantin Izvanariu Dentist 7514 Skokie Blvd, Skokie, IL 60077-3377 2008-05-09
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Competitor

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City SKOKIE
Zip Code 60076

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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