Provider Demographics
NPI:1518008127
Name:SOLOV, JULIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:SOLOV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 W PRATT BLVD
Mailing Address - Street 2:UNIT 3N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-4414
Mailing Address - Country:US
Mailing Address - Phone:773-973-5908
Mailing Address - Fax:
Practice Address - Street 1:3256 N PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4730
Practice Address - Country:US
Practice Address - Phone:773-481-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice