Active NPI
Lily Fayz
- Prosthodontics
- Chicago, IL
National Provider Identifier
1205726106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 064612
- Practice address
- 25 E Washington St
Chicago, IL 60602-1708 - Phone
- (312) 236-2968
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 019.033706 | IL | |
| Prosthodontics | 1223P0700X | 064612 | NY | Primary |
Addresses
Primary practice location
25 E Washington St
Chicago, IL 60602-1708
Mailing address
1308 W 33Rd PL
Chicago, IL 60608-6462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033706 | IL | MD | Prosthodontist |
| 064612 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1205726106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 W 33RD PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606086462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "312-236-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAYZ",
"first_name": "LILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IL",
"license": "019.033706",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "064612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.