Provider Demographics
NPI:1629039789
Name:HILLMANN, WILLIAM C (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:HILLMANN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1603 N ALPINE RD
Mailing Address - Street 2:STE 121
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-1439
Mailing Address - Country:US
Mailing Address - Phone:815-209-9420
Mailing Address - Fax:815-425-5244
Practice Address - Street 1:1603 N ALPINE RD
Practice Address - Street 2:STE 121
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-1439
Practice Address - Country:US
Practice Address - Phone:815-209-9420
Practice Address - Fax:815-425-5244
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-009168152W00000X
IL046009168152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management