Healthcare Provider Details

I. General information

NPI: 1427842558
Provider Name (Legal Business Name): SOLARARX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1823 W 47TH ST
CHICAGO IL
60609-3843
US

IV. Provider business mailing address

2835 N SHEFFIELD AVE STE 500
CHICAGO IL
60657-5084
US

V. Phone/Fax

Practice location:
  • Phone: 773-296-2400
  • Fax:
Mailing address:
  • Phone: 773-296-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAURICE BROWNLEE
Title or Position: CEO
Credential: APRN-FPA
Phone: 404-548-1212