Healthcare Provider Details

I. General information

NPI: 1073435103
Provider Name (Legal Business Name): LINDSEY ALICE WILLIAMS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E ONTARIO ST
CHICAGO IL
60611-3022
US

IV. Provider business mailing address

1416 W HURON ST APT 2F
CHICAGO IL
60642-6179
US

V. Phone/Fax

Practice location:
  • Phone: 312-664-6616
  • Fax:
Mailing address:
  • Phone: 630-770-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037381
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: