Provider Demographics
NPI:1932322013
Name:LYNCH, WILLIAM RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RAYMOND
Last Name:LYNCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE.
Mailing Address - Street 2:STE 1202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-307-3600
Mailing Address - Fax:312-284-4834
Practice Address - Street 1:111 N WABASH AVE.
Practice Address - Street 2:STE 1202
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-307-3600
Practice Address - Fax:312-284-4834
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43015031672084P0800X
IL036-1121942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry