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NPI Code Detail

MEDICARE: LEYLA M SOLIS MD

MEDICARE: LEYLA M SOLIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician38594WI
2207RG0300XGeriatric Medicine (Internal Medicine) Physician38594WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659459188
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEYLA M SOLIS MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 414-744-6589
Fax Number : 414-747-8848
Provider Business Practice Location Address
First Line : 2000 E LAYTON AVE
Second Line :
City : SAINT FRANCIS
State : WI
Zip : 53235-6053
Country : US
Telephone Number : 414-744-6589
Fax Number : 414-747-8848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 10/19/2023

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