Individual
CARLOS SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 W WESTGATE TER, CHICAGO, IL 60607-3304
(312) 208-0793
Mailing address
1301 W WESTGATE TER, CHICAGO, IL 60607-3304
(312) 208-0793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019252
IL
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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