Healthcare Provider Details

I. General information

NPI: 1114835220
Provider Name (Legal Business Name): EMILY SOLEM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST STE 1310
CHICAGO IL
60602-1863
US

IV. Provider business mailing address

9161 JARVIS AVE S
COTTAGE GROVE MN
55016-4060
US

V. Phone/Fax

Practice location:
  • Phone: 773-665-9950
  • Fax:
Mailing address:
  • Phone: 651-769-7564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.040600
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: