Provider Demographics
NPI:1750461208
Name:SOLVER, EDUARDO A (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:A
Last Name:SOLVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OAK BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565
Mailing Address - Country:US
Mailing Address - Phone:630-696-2974
Mailing Address - Fax:
Practice Address - Street 1:4809 W MADISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644
Practice Address - Country:US
Practice Address - Phone:773-261-1013
Practice Address - Fax:773-261-1013
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23679207Q00000X
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA23679OtherIOWA STATE LICENSE
C45872Medicare UPIN
IL714750Medicare PIN