Individual
ISABELLE CARMEN SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1034 N WELLS ST, CHICAGO, IL 60610-2513
(312) 813-3448
Mailing address
5412 N NASHVILLE AVE, CHICAGO, IL 60656-2209
(312) 813-3448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005585
IL
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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