Provider Demographics
NPI:1518084359
Name:LINDSEY, DOLORES DELACRUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:DOLORES
Middle Name:DELACRUZ
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DOLORES
Other - Middle Name:C
Other - Last Name:DELACRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:176 N OAK MILL ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-5200
Mailing Address - Country:US
Mailing Address - Phone:630-782-2036
Mailing Address - Fax:
Practice Address - Street 1:111 N COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-3977
Practice Address - Country:US
Practice Address - Phone:630-682-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider