Provider Demographics
NPI:1225107972
Name:SOLES, ROBERT
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SOLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 ARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6911
Mailing Address - Country:US
Mailing Address - Phone:304-488-2965
Mailing Address - Fax:
Practice Address - Street 1:465 LAKE COOK RD
Practice Address - Street 2:LAKE COOK PLAZA
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5202
Practice Address - Country:US
Practice Address - Phone:847-945-3139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist