Healthcare Provider Details

I. General information

NPI: 1790362978
Provider Name (Legal Business Name): MICHAEL SOLOTKE MD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST STE 1880
CHICAGO IL
60611-3139
US

IV. Provider business mailing address

676 N SAINT CLAIR ST STE 1880
CHICAGO IL
60611-3139
US

V. Phone/Fax

Practice location:
  • Phone: 312-462-9844
  • Fax: 312-642-7637
Mailing address:
  • Phone: 312-642-9844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036174218
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: