MEDICARE: DR. KAITLYN M SOLOLA PHARM.D

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	1835P1200X	Pharmacotherapy Pharmacist	051298421	IL
2	183500000X	Pharmacist	051298421	IL
3	1835C0207X	Compounded Sterile Preparations Pharmacist	051298421	IL

General Provider Information

NPI Number	:	1801878657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAITLYN M SOLOLA PHARM.D

Provider Business Mailing Address
First Line	:	21W585 HUNTINGTON RD
Second Line	:
City	:	GLEN ELLYN
State	:	IL
Zip	:	60137-7005
Country	:	US
Telephone Number	:	520-437-3941
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 S 5TH AVE
Second Line	:
City	:	HINES
State	:	IL
Zip	:	60141-3030
Country	:	US
Telephone Number	:	708-202-8387
Fax Number	:

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	10/23/2025

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