Active NPI
Luis Angel Sida Solis
- Behavior Technician
- Lansing, IL
National Provider Identifier
1093606766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-376715
- Practice address
- 2559 Indiana Ave
Lansing, IL 60438-2138 - Phone
- (708) 654-4704
- NPI assigned
- Jul 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049.284465 | IL | |
| Behavior Technician | 106S00000X | RBT-24-376715 | IL | Primary |
Addresses
Primary practice location
2559 Indiana Ave
Lansing, IL 60438-2138
Mailing address
2559 Indiana Ave
Lansing, IL 60438-2138
Phone (708) 654-4704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-376715 | IL | MD | Behavior Technician |
| 049.284465 | IL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1093606766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 INDIANA AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604382138",
"telephone_number": "708-654-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2559 INDIANA AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604382138",
"telephone_number": "708-654-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDA SOLIS",
"first_name": "LUIS",
"middle_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-11",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IL",
"license": "049.284465",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-376715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.