Provider Demographics
NPI:1750467858
Name:SAXTON-WILLIAMS, ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:SAXTON-WILLIAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 W IRVING PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613
Mailing Address - Country:US
Mailing Address - Phone:773-525-0952
Mailing Address - Fax:
Practice Address - Street 1:4115 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-3131
Practice Address - Country:US
Practice Address - Phone:773-360-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009866152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK33175OtherMEDICARE INDIVIDUAL
ILK33176OtherMEDICARE INDIVIDUAL
IL211225OtherMEDICARE GROUP
ILK33177OtherMEDICARE INDIVIDUAL
ILDA0515OtherMEDICARE RAILROAD GROUP
IL203865OtherMEDICARE GROUP
IL0514170001OtherDME GROUP
IL203866OtherMEDICARE GROUP
ILDA0516OtherMEDICARE RAILROAD GROUP
IL0514170002OtherDME GROUP
ILP00370719OtherRR MEDICARE INDIVIDUAL
ILK33176OtherMEDICARE INDIVIDUAL
ILDA0515OtherMEDICARE RAILROAD GROUP
ILK33175OtherMEDICARE INDIVIDUAL