Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 19A14769 | IL |
NPI | 1013187442 |
---|---|
Provider Name | Dr. James Frances Soltes |
First Address | Hickory Hills, IL 60457 |
Second Address | Hickory Hills, IL 60457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 29/02/2008 |