NPI 1558316281

Samuel Solomon, MD

Practitioner Specialist Gurnee, IL

Practice location

Address: 103 S Greenleaf St Suite J, Gurnee, IL 60031-3380
Phone: (847) 662-8201
Fax: (847) 662-8215

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 36039961 (IL)

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Registry record

NPI: 1558316281
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2006
Record last updated: 12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.