Individual
DR. FERNANDO SOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2110 W DIVISION ST, CHICAGO, IL 60622-7272
(773) 235-7455
(773) 235-7055
Mailing address
2110 W DIVISION ST, CHICAGO, IL 60622-7272
(773) 235-7455
(773) 235-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36082596
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36082596
STATE LICENSE NUMBER
IL
Enumeration date
12/12/2006
Last updated
07/09/2007
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