Healthcare Provider Details

I. General information

NPI: 1003042003
Provider Name (Legal Business Name): MICHELLE RENE SOLANO (FORMERLY RAFINSKI) PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 12/24/2020
Certification Date: 12/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 S BUSSE RD
MT PROSPECT IL
60056-4570
US

IV. Provider business mailing address

1002 S BUSSE RD
MT PROSPECT IL
60056-4570
US

V. Phone/Fax

Practice location:
  • Phone: 847-871-6291
  • Fax:
Mailing address:
  • Phone: 847-871-6291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051293306
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: