Solomon, Samuel

Solomon, Samuel is an individual health care provider with primary practice located at 103 S Greenleaf St Suite J, Gurnee IL 60031-3380. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Solomon, Samuel can be contacted via phone (847) 662-8201.

Contact Information

Primary practice address
103 S Greenleaf St Suite J Gurnee IL 60031-3380
Phone: (847) 662-8201
Fax: (847) 662-8215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36039961 Illinois

Profile Details

NPI number 1558316281
LBN Legal business name Solomon, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558316281 NPPES
Illinois Other 6945148002 CIGNA
Illinois Other K39549 CIGNA
Illinois Other 1609827237 CIGNA
Illinois Other 4044905 CIGNA
Illinois Other 89-101 CIGNA
Illinois Other O4920144 CIGNA

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