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NPI Code Detail

MEDICARE: MIGUEL SOTO

MEDICARE:   MIGUEL  SOTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIL

General Provider Information

NPI Number : 1134050321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL SOTO
Provider Business Mailing Address
First Line : 1230 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1401
Country : US
Telephone Number : 630-966-9393
Fax Number :
Provider Business Practice Location Address
First Line : 1230 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1401
Country : US
Telephone Number : 630-966-9393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ MIGUEL SOTO ” Practice Location

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