Provider Demographics
NPI:1215224159
Name:BARBARA A SOLTES MDSC
Entity Type:Organization
Organization Name:BARBARA A SOLTES MDSC
Other - Org Name:CENTER FOR WOMEN'S CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOLTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-385-6710
Mailing Address - Street 1:12400 S HARLEM AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1477
Mailing Address - Country:US
Mailing Address - Phone:708-385-6989
Mailing Address - Fax:708-385-6949
Practice Address - Street 1:12400 S HARLEM AVE STE 110
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1477
Practice Address - Country:US
Practice Address - Phone:708-385-6989
Practice Address - Fax:708-385-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036080083Medicaid
IL1164591301OtherNPI INDIVIDUAL
IL160035428OtherRAILROAD MEDICARE PTAN
IL385710OtherMEDICARE PTAN
ILF25676Medicare UPIN