Provider Demographics
NPI:1073371993
Name:SOLIMAN, SUMMER (PA-C)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5145 N. CALIFORNIA AVE.
Mailing Address - Street 2:IM/ICU HOSPITALISTS - SUITE 331
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3661
Mailing Address - Country:US
Mailing Address - Phone:847-570-1027
Mailing Address - Fax:773-989-1734
Practice Address - Street 1:2650 RIDGE AVE.
Practice Address - Street 2:IM/ICU HOSPITALISTS
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-570-1010
Practice Address - Fax:847-733-5108
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL085010595363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program