National Provider Identifier

Willie Chillis

Willie Chillis is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 895-6700.

NPI 1831941905Buffalo, NYSpecialist

Profile Overview

NPI
1831941905
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
April 03, 2024
Last Updated
April 03, 2024

Practice Location

  • 1131 Broadway
  • Buffalo, NY 14212

Phone: (716) 895-6700

Mailing Address

  • 134 Stockbridge Ave
  • Buffalo, NY 14215

Specialties

  • Specialist (174400000X)
Full Record
NPI
1831941905
Entity Type
Individual
Last Name
Chillis
First Name
Willie
Mailing Street Address
134 Stockbridge Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215
Mailing Country
US
Mailing Phone
(716) 394-3793
Practice Street Address
1131 Broadway
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212
Practice Country
US
Practice Phone
(716) 895-6700
Enumeration Date
April 03, 2024
Last Updated
April 03, 2024
Sex
Male
Sole Proprietor
No
Certification Date
April 03, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)