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NPI Code Detail

MEDICARE: ANAYSE ISABEL SOTO

MEDICARE: ANAYSE ISABEL 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1992507685
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAYSE ISABEL SOTO
Provider Business Mailing Address
First Line : 7234 W NORTH AVE APT 1206
Second Line :
City : ELMWOOD PARK
State : IL
Zip : 60707-4230
Country : US
Telephone Number : 312-874-3827
Fax Number :
Provider Business Practice Location Address
First Line : 3710 N KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-4504
Country : US
Telephone Number : 773-564-9070
Fax Number : 773-754-0147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/28/2025

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Directions to “ ANAYSE ISABEL SOTO ” Practice Location

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