Mark Solomon is a Clinical in Libertyville, Illinois. Mark Solomon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Solomon is 1649289620. The last update date is 2016-07-22.
Mark Solomon's current location address is 128 Newberry Ave, Libertyville, Illinois. You can contact this provider via phone number 8476800272 and fax number 8476800272. The mailing address for Mark Solomon is 128 Newberry Ave, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Solomon |
|---|---|
| Address | 128 Newberry Ave, Libertyville, Illinois |
| Phone Number | 8476800272 |
| Fax Number | 8476800272 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1649289620 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2016-07-22 |
Provider Mailing Address Detail
| Address | 128 Newberry Ave |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600481923 |
| Phone Number | 8476800272 |
| Fax Number | 8476800272 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-003896 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Mark Solomon by the Centers for Medicare & Medicaid Services?
The Mark Solomon has been issued the NPI (National Provider Identifier) 1649289620. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Solomon?
The Mark Solomon is physically situated at 128 Newberry Ave, in the city of Libertyville, state of IL, with the postal code 600481923.
What is Mark Solomon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Solomon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did Mark Solomon receive its 1649289620 assignment from the Centers for Medicare & Medicaid Services?
The Mark Solomon was assigned its 1649289620 on 2006-08-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark Solomon most recently updated or refreshed?
The details pertaining to the Mark Solomon, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-22.