Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699864322 Individual Practitioner Male Practitioner

Dr. Paul Jay Willis , DDS

Dentist - General Practice • Skokie, IL

Professional Overview & Biography Verified Profile Summary

Dr. Paul Willis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Skokie, IL. Practice services are available at 4709 GOLF RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4709 Golf Rd
#1005

Skokie, IL 600761231

Telephone 8476772404
Fax 8476777432
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Skokie, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
72 Specialists

Practicing in Skokie, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Practice Npi
1689765679 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Raheel Khatri , DMD

Dentist - General Practice

NPI 1376942383

Doctor of Dental Medicine

Dr. Elliot Abt , DDS

Dentist - General Practice

NPI 1548341001

Doctor of Dental Surgery

NPI 1770654808

Doctor of Dental Surgery

NPI 1841600020

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4709 GOLF RD, #1005, SKOKIE, IL 600761231 (Tel: 8476772404)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4709 GOLF RD, #1005, SKOKIE, IL 600761231 (Tel: 8476772404)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL WILLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699864322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4709 Golf Rd, #1005

Skokie, IL 600761231

Phone: 8476772404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.