Healthcare Provider Details

I. General information

NPI: 1518891563
Provider Name (Legal Business Name): SOL CORE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N WINFIELD RD STE 500
WINFIELD IL
60190-1379
US

IV. Provider business mailing address

20501 NW 17TH AVE APT 303
MIAMI GARDENS FL
33056-5029
US

V. Phone/Fax

Practice location:
  • Phone: 929-642-0821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JACOB MOCILAN
Title or Position: CEO
Credential:
Phone: 929-642-0821