Organization
MAURICE SOLODKY PHD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE SOLODKY PHD (PRESIDENT)
(312) 301-1968
Entity
Organization
Contact information
Practice address
1034 PLEASANT ST, OAK PARK, IL 60302-3002
(312) 301-1968
(708) 660-9841
Mailing address
PO BOX 388320, CHICAGO, IL 60638-8320
(773) 767-4600
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001672960
BLUE SHIELD
IL
Enumeration date
03/29/2007
Last updated
08/22/2020
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