Provider Demographics
NPI:1881881290
Name:DOCTORS SOLOMON, SC
Entity type:Organization
Organization Name:DOCTORS SOLOMON, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SHELDON
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-988-7030
Mailing Address - Street 1:441 E ERIE ST
Mailing Address - Street 2:SUITE 5311
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4446
Mailing Address - Country:US
Mailing Address - Phone:312-988-7030
Mailing Address - Fax:847-835-2853
Practice Address - Street 1:441 E ERIE ST
Practice Address - Street 2:SUITE 5311
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4446
Practice Address - Country:US
Practice Address - Phone:312-988-7030
Practice Address - Fax:847-835-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-29
Last Update Date:2007-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty