Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036057197 | IL |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 036057197 | IL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 036057197 | IL |
NPI | 1225144462 |
---|---|
Provider Name | Dr. Steven Francis Soltes |
First Address | Oak Lawn, IL 60453-2654 |
Second Address | Oak Lawn, IL 60453-2654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 21/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036057197 | (05) | IL |
D13582 | (02) | IL |