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NPI Code Detail

MEDICARE: ARTURO SOTO-NEVAREZ PH.D.

MEDICARE:   ARTURO  SOTO-NEVAREZ  PH.D.
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
1103TC0700XClinical Psychologist071.011171IL

General Provider Information

NPI Number : 1093132466
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTURO SOTO-NEVAREZ PH.D.
Provider Business Mailing Address
First Line : 4422 N RAVENSWOOD AVE # 1006
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5803
Country : US
Telephone Number : 708-669-6871
Fax Number :
Provider Business Practice Location Address
First Line : 4311 N RAVENSWOOD AVE STE 328
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1192
Country : US
Telephone Number : 708-669-6871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 06/03/2026

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Directions to “ ARTURO SOTO-NEVAREZ PH.D.” Practice Location

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