Solomon Primary Care Doctors LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036084144 Issued in IL

Legal business name

SOLOMON PRIMARY CARE DOCTORS LLC

Practice address

645 S Central Ave
6TH Floor
Chicago, IL 60644-5059

Phone

(708) 854-5579

Fax

(773) 854-5587

NPI assigned

May 14, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deenadayal Gaddam, M.D

Title

President

Phone

(708) 769-0677

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1588075451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 BENTLEY AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "address_2": "6TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445059",
            "telephone_number": "708-854-5579",
            "fax_number": "773-854-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON PRIMARY CARE DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GADDAM",
        "authorized_official_first_name": "DEENADAYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-769-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solo Eye Care Printers Row, PLLC
• Solo Eye Care University Village PLLC
• James M Solofra, D.D.S.
• Clementina Nkechi Solola, PT, DPT
• Solomon Pesis DDS, Dental Outreach P.C.
• Jessie Tova Solomon-Greenbaum, M.A.
• Adina Gila Solomon
• Alfred Tawiah Solomon, MD
• David Sheldon Solomon, MD
• Marla Cohn Solomon, RD, LD/N, CDE

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.