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Dr. Samuel Solomon, MD
Specialist in Gurnee, Illinois
NPI 1558316281

Samuel Solomon is a Specialist based in Gurnee, IL. Samuel Solomon practices in Gurnee, IL and has the professional credentials of MD. The NPI Number for Samuel Solomon is 1558316281 and holds a License No. 36039961 (Illinois).

The current practice location address for Samuel Solomon is 103 S Greenleaf St, Gurnee, IL and can be reached out via phone at 847-662-8201 and via fax at 847-662-8215.

Location: 103 S Greenleaf St, Gurnee, IL, 60031-3380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558316281
Provider Name
Samuel Solomon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
103 S Greenleaf St, Gurnee, IL, 60031-3380
Phone Number
847-662-8201
Fax Number
847-662-8215
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6945148002 01 IL CIGNA
K39549 01 IL MEDICARE INDIVIDUAL NO.
1609827237 01 IL GROUP NPI
4044905 01 IL AETNA
89-101 01 WI WISCONSIN PROVIDER
O4920144 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
103 S Greenleaf St
City
Gurnee
State
Illinois
Zip
60031-3380
Phone Number
847-662-8201
Fax Number
847-662-8215
person
Provider Business Mailing Address Details
Address
103 S Greenleaf St
City
Gurnee
State
Illinois
Zip
60031-3380
Phone Number
847-662-8201
Fax Number
847-662-8215
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36039961 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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