Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Clarkston Soult II, MD

Individual provider Surgery Physician · NPI 1700014289

Dr. Michael Clarkston Soult II, MD is a Vascular Surgery in Maywood, Illinois. Graduated from Ohio State University College of Medicine in 2009, 17 years ago. Practices with Loyola University Medical Center, a 946-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Trained at
Ohio State University College of Medicine
Licensed in
IL
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036140186 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036140186 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 036.140186 (IL)

Record details

NPI number1700014289
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2009
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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