MEDICARE: DR. MONIKA SOLIMAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019.034422	IL

General Provider Information

NPI Number	:	1134906464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONIKA SOLIMAN DMD

Provider Business Mailing Address
First Line	:	182 W LAKE ST APT 415
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-1063
Country	:	US
Telephone Number	:	973-771-8809
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-2307
Country	:	US
Telephone Number	:	773-673-9831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

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