Healthcare Provider Details

I. General information

NPI: 1225144462
Provider Name (Legal Business Name): STEVEN FRANCIS SOLTES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W 95TH ST SUITE 304
OAK LAWN IL
60453-2654
US

IV. Provider business mailing address

4400 W 95TH ST SUITE 304
OAK LAWN IL
60453-2654
US

V. Phone/Fax

Practice location:
  • Phone: 708-422-0500
  • Fax: 708-422-5450
Mailing address:
  • Phone: 708-422-0500
  • Fax: 708-422-5450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036057197
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number036057197
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number036057197
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: