Individual
SOTERIOS J. SOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Mailing address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY6772
FL
103TC0700X
Clinical Psychologist
071002673
IL
103TC0700X
Clinical Psychologist
0852
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
074000001
IL
103TP0016X
Prescribing (Medical) Psychologist
PSY-RXP0006
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618781
BC/BS
IL
Enumeration date
12/15/2005
Last updated
06/17/2024
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