MEDICARE: WILLIAM HILLMAN PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071003686	IL

General Provider Information

NPI Number	:	1710104120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM HILLMAN PSYD

Provider Business Mailing Address
First Line	:	1333 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1329
Country	:	US
Telephone Number	:	312-933-0060
Fax Number	:	773-856-6617

Provider Business Practice Location Address
First Line	:	1333 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1329
Country	:	US
Telephone Number	:	312-933-0060
Fax Number	:	773-856-6617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	08/30/2010

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