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Contact Information

JAMES E TILLER, PhD
2101 WINDISH DRIVE
GALESBURG, IL61401
 Phone: 309-342-6852
 Fax: 309-342-6535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES E TILLER · (Male)

NPI # 1821350489
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/11/2012
Last updated 06/11/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 071.002718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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