Individual ProviderLillian JillsonPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address200 Jefferson Ave SE, Grand Rapids, MI 49503-4502(616) 685-6867PECOS EnrollmentBased on the most recent information from CMS, provider Lillian Jillson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1124818570Provider TypeIndividualFull NameJillson, LillianCredentialDOGenderFemaleSole ProprietorNoEnumeration Date5/8/2025Last Updated5/8/2025Contact InformationPractice LocationPractice Address200 Jefferson Ave SE, Grand Rapids, MI 49503-4502Phone(616) 685-6867FaxUnlisted FaxMailing LocationMailing Address200 Jefferson Ave SE, Grand Rapids, MI 49503-4502PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense5151017479Michigan