Basic Information
Provider Information
NPI: 1225054463
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOTO
FirstName: PABLO
MiddleName: F
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 808 E WOODFIELD RD STE 300
Address2:  
City: SCHAUMBURG
State: IL
PostalCode: 601734836
CountryCode: US
TelephoneNumber: 8476050030
FaxNumber: 8476370737
Practice Location
Address1: 804 E WOODFIELD RD
Address2: STE 300
City: SCHAUMBURG
State: IL
PostalCode: 601734776
CountryCode: US
TelephoneNumber: 8476059500
FaxNumber: 8476058700
Other Information
ProviderEnumerationDate: 07/14/2006
LastUpdateDate: 06/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207UN0901X036127400ILN Allopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
207RC0000X036127400ILY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home