Individual
NICOLE THERESE SOLTYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-2810
Mailing address
328 S RIVERSIDE DR, VILLA PARK, IL 60181-2734
(312) 238-2810
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
211.000206
IL
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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