Mrs Lisette Tzanetakos Solomon, MD - Internal Medicine in Montgomery, IL

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Mrs Lisette Tzanetakos Solomon, MD is a Internal Medicine physician based in Montgomery, Illinois. Mrs Lisette Tzanetakos Solomon is licensed to practice in Illinois (license number 036073832) and her current practice location is 99 Boulder Hill Pass, Montgomery, Illinois. She can be reached at her office (for appointments etc.) via phone at (630) 897-2848.

NPI number for Mrs Lisette Tzanetakos Solomon is 1851428114 and her current mailing address is 99 Boulder Hill Pass, Montgomery, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851428114.

Contact Information

Mrs Lisette Tzanetakos Solomon, MD
99 Boulder Hill Pass,
Montgomery, IL 60538
(630) 897-2848
(630) 897-4498

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Physician's Profile

Full NameMrs Lisette Tzanetakos Solomon
GenderFemale
SpecialityInternal Medicine
Location99 Boulder Hill Pass, Montgomery, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851428114
  • Provider Enumeration Date: 02/27/2007
  • Last Update Date: 06/10/2008

Medical Identifiers

Medical identifiers for Mrs Lisette Tzanetakos Solomon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851428114NPI-NPPES
036073832MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036073832 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisette Tzanetakos Solomon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisette Tzanetakos Solomon, MD
99 Boulder Hill Pass,
Montgomery, IL 60538

Ph: (630) 897-2848		Mrs Lisette Tzanetakos Solomon, MD
99 Boulder Hill Pass,
Montgomery, IL 60538

Ph: (630) 897-2848

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Internal Medicine Doctors in Montgomery, IL


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