Provider Demographics
NPI:1992507685
Name:SOTO, ANAYSE ISABEL
Entity type:Individual
Prefix:
First Name:ANAYSE
Middle Name:ISABEL
Last Name:SOTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7234 W NORTH AVE APT 1206
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4230
Mailing Address - Country:US
Mailing Address - Phone:312-874-3827
Mailing Address - Fax:
Practice Address - Street 1:3710 N KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-4504
Practice Address - Country:US
Practice Address - Phone:773-564-9070
Practice Address - Fax:773-754-0147
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker