Healthcare Provider Details

I. General information

NPI: 1417140591
Provider Name (Legal Business Name): ROBIN LYNN SOLINI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN LYNN PHILLIPS PA

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E SUPERIOR ST FL 16
CHICAGO IL
60611-2914
US

IV. Provider business mailing address

250 E SUPERIOR ST FL 16
CHICAGO IL
60611-2914
US

V. Phone/Fax

Practice location:
  • Phone: 312-472-3665
  • Fax: 312-472-4223
Mailing address:
  • Phone: 312-472-3665
  • Fax: 312-472-4223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085006028
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: