Provider Demographics
NPI:1770639502
Name:DR LINDA M WILLIAMS DDS PC
Entity Type:Organization
Organization Name:DR LINDA M WILLIAMS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-891-5020
Mailing Address - Street 1:1443 W SCHAUMBURG RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194
Mailing Address - Country:US
Mailing Address - Phone:847-891-5020
Mailing Address - Fax:847-891-5021
Practice Address - Street 1:1443 W SCHAUMBURG RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194
Practice Address - Country:US
Practice Address - Phone:847-891-5020
Practice Address - Fax:847-891-5021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty