Healthcare Provider Details

I. General information

NPI: 1215224159
Provider Name (Legal Business Name): BARBARA A SOLTES MDSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12400 S HARLEM AVE STE 110
PALOS HEIGHTS IL
60463-1477
US

IV. Provider business mailing address

12400 S HARLEM AVE STE 110
PALOS HEIGHTS IL
60463-1477
US

V. Phone/Fax

Practice location:
  • Phone: 708-385-6989
  • Fax: 708-385-6949
Mailing address:
  • Phone: 708-385-6989
  • Fax: 708-385-6949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. BARBARA A SOLTES
Title or Position: OWNER / DIRECTOR
Credential: M.D.
Phone: 708-385-6710