Individual
ANGELICA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,APRN,PMHNP-C
Contact information
Practice address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Mailing address
5403 CLEARY CT, CARPENTERSVILLE, IL 60110-3269
(224) 856-9157
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.030796
IL
Other
Enumeration date
11/04/2024
Last updated
02/11/2025
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