Provider Demographics
NPI:1558503078
Name:SOLIS, ARNOLD ROMERO (RN, CNOR)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:ROMERO
Last Name:SOLIS
Suffix:
Gender:M
Credentials:RN, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13223 BAYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-5991
Mailing Address - Country:US
Mailing Address - Phone:708-263-5092
Mailing Address - Fax:708-301-6148
Practice Address - Street 1:13223 BAYWOOD LANE
Practice Address - Street 2:HOMER GLEN
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491
Practice Address - Country:US
Practice Address - Phone:708-263-5092
Practice Address - Fax:708-301-6148
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.279692163WR0006X
IL041279692163WR0006X
IL041-279692163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty