Soto Perez, Amanda Raquel
Soto Perez, Amanda Raquel is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc8016 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Soto Perez, Amanda Raquel can be contacted via phone (773) 702-1000.Contact Information
Primary practice address
5841 S Maryland Ave # Mc8016
Chicago IL 60637-1443
Phone: (773) 702-1000
Fax: (773) 834-0748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.084715 | Illinois |
Profile Details
| NPI number | 1881374304 |
|---|---|
| LBN Legal business name | Soto Perez, Amanda Raquel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2023 |
| Last updated | Jul 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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