Provider Demographics
NPI:1447503503
Name:WILLIS-FILLINGER, DEBORAH ANNIECE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANNIECE
Last Name:WILLIS-FILLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10610 MEADOWHILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1526
Mailing Address - Country:US
Mailing Address - Phone:773-793-0353
Mailing Address - Fax:
Practice Address - Street 1:10610 MEADOWHILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1526
Practice Address - Country:US
Practice Address - Phone:773-793-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.067833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine