DR. SAMUEL SOLOMON M.D.
NPI 1558316281
Specialist in Gurnee, IL

Q: What is Samuel Solomon's NPI number?

The NPI number for Samuel Solomon is 1558316281. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Samuel Solomon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Solomon was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2006PECOS Enrolled

103 S GREENLEAF ST, SUITE J, GURNEE, IL 60031(847) 662-8201(847) 662-8215 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Samuel Solomon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL SOLOMON M.D. (NPI 1558316281) is an individual specialist in Gurnee, Illinois, licensed in Illinois (36039961) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558316281

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. SAMUEL SOLOMONCredential: M.D.

Location Address103 S GREENLEAF ST, SUITE JGurnee, IL 60031-3380

Mailing Address103 S Greenleaf St, Suite JGurnee, IL 60031-3380 · (847) 662-8201 · Fax (847) 662-8215

Phone(847) 662-8201

Fax(847) 662-8215

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateFebruary 12, 2008

✔ NPI 1558316281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 36039961

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

103 S GREENLEAF ST, Gurnee, IL 60031

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Other Identifiers 8

OtherK39549IL · Medicare Individual No.

Other4044905IL · Aetna

Other89-101WI · Wisconsin Provider

OtherO4920144IL · Bcbs

Medicare UPIND10959IL

Medicare ID-Type Unspecified453550

Other6945148002IL · Cigna

Other1609827237IL · Group Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Solomon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA NATHAN RIEGELHAUPT DPM

Podiatrist (Foot & Ankle Surgery)

103 S GREENLEAF ST, STE B
GURNEE, IL 60031

Lake County (586) 427-1000

DR. BENJAMIN A DUBIN M.D.

Specialist

103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031

Lake County (847) 662-8201

DR. JOHN EDWARD STUPARITZ DDS,MS

Dentist (Endodontics)

103 S GREENLEAF ST, SUITE K
GURNEE, IL 60031

Lake County (847) 782-0048

NICHOLAS J NIKITAS M.D.

Family Medicine (Adult Medicine)

103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031

Lake County (847) 599-8899

DIANE B. ZIMMERMAN PA

Physician Assistant (Medical)

103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031

Lake County (847) 599-8899

NICKOLE A. DOOLEY DO

Family Medicine

103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031

Lake County (847) 599-8899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Solomon's NPI number?

The NPI number for Samuel Solomon is 1558316281. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Samuel Solomon located?

Samuel Solomon practices at 103 S Greenleaf St Suite J, Gurnee, IL 60031. The listed phone number is (847) 662-8201.

What is Samuel Solomon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Samuel Solomon enrolled in Medicare?

Yes. Samuel Solomon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Solomon was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.