Provider Demographics
NPI:1841565777
Name:SOL, DAVID RICH (DAC, LAC, LMT)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICH
Last Name:SOL
Suffix:
Gender:M
Credentials:DAC, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 MEADE AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2429
Mailing Address - Country:US
Mailing Address - Phone:847-665-9616
Mailing Address - Fax:
Practice Address - Street 1:5225 OLD ORCHARD RD STE 24A
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-4406
Practice Address - Country:US
Practice Address - Phone:847-665-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-10
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.001440171100000X
IL227001253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist