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

Marie Chrystal Solola, PAC

Individual provider Physician Assistant · NPI 1467658195

Marie Chrystal Solola, PAC is a Physician Assistant in Kenosha, Wisconsin. Qualified in 1989, 37 years ago. Practices with Cook County, a 787-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
37
Licensed in
IL, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142
Phone: (262) 948-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1700 Luther Ln Fl Center3, Park Ridge, IL 60068-1270 — (847) 723-3100
  • 10400 75th St, Kenosha, WI 53142 — (262) 948-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4577 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 85000396 (IL)

Record details

NPI number1467658195
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 21, 2007
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kenosha