| Angelica Soto, MSN,APRN,PMHNP-C | |
| 
					145 S Virginia St, Crystal Lake, IL 60014-7226  | |
| (815) 444-9999 | |
| Not Available | 
| Full Name | Angelica Soto | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 145 S Virginia St, Crystal Lake, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063235505 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.030796 (Illinois) | Primary | 
| Entity Name | Mathers Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316237530 PECOS PAC ID: 7214111582 Enrollment ID: O20110411000671  | 
| Entity Name | Community Home Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568909505 PECOS PAC ID: 4981988771 Enrollment ID: O20170222001318  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angelica Soto, MSN,APRN,PMHNP-C 5403 Cleary Ct, Carpentersville, IL 60110-3269 Ph: (224) 856-9157  | Angelica Soto, MSN,APRN,PMHNP-C 145 S Virginia St, Crystal Lake, IL 60014-7226 Ph: (815) 444-9999  | 
Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044  | |
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160  | |
Mrs. Shannon Harrison Malone, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 442 N Illinois Rte 31, Crystal Lake, IL 60012 Phone: 224-238-3211  | |
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922  | |
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227  | |
Sheila Roxanne Soriano Reyes, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln Ste 290, Crystal Lake, IL 60014 Phone: 708-434-4090  |