Provider Demographics
NPI:1821145251
Name:SOLECKI, THOMAS JOSEPH JR (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:SOLECKI
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4588
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-4588
Mailing Address - Country:US
Mailing Address - Phone:262-914-9655
Mailing Address - Fax:630-277-8100
Practice Address - Street 1:200 E. ROOSEVELT RD
Practice Address - Street 2:JANSE HALL
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4539
Practice Address - Country:US
Practice Address - Phone:262-914-9655
Practice Address - Fax:630-277-8100
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3590111N00000X
IL038009230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU74341OtherUPIN
WIU74341OtherUPIN
WI000035650Medicare ID - Type UnspecifiedWI MEDICARE
WV38910800Medicare ID - Type UnspecifiedWI MEDCAID