MEDICARE: MRS. SONIA ECHEVARRIA RRT

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
1	227900000X	Registered Respiratory Therapist	194000800	IL

General Provider Information

NPI Number	:	1871102293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONIA ECHEVARRIA RRT

Provider Business Mailing Address
First Line	:	5328 S MCVICKER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-2634
Country	:	US
Telephone Number	:	773-654-0419
Fax Number	:

Provider Business Practice Location Address
First Line	:	5328 S MCVICKER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-2634
Country	:	US
Telephone Number	:	773-654-0419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2020
Last Update Date	:	07/31/2020

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