Provider Demographics
NPI:1588344964
Name:MARC L SOLODKY LIMITED
Entity type:Organization
Organization Name:MARC L SOLODKY LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PRO COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOLODKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:331-215-7558
Mailing Address - Street 1:7020 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1870
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:552 S WASHINGTON ST STE 115
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6669
Practice Address - Country:US
Practice Address - Phone:331-215-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)