Provider Demographics
NPI:1063098010
Name:SOLODKY, MARC (LPC)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:SOLODKY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 LINCOLN AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532
Mailing Address - Country:US
Mailing Address - Phone:331-215-7558
Mailing Address - Fax:
Practice Address - Street 1:4513 LINCOLN AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532
Practice Address - Country:US
Practice Address - Phone:331-215-7558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.015684101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL178.015684OtherDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION