Provider Demographics
NPI:1679817365
Name:ALVAREZ SOTO, JIMENA BEATRIZ (MD)
Entity Type:Individual
Prefix:
First Name:JIMENA
Middle Name:BEATRIZ
Last Name:ALVAREZ SOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JIMENA
Other - Middle Name:B
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5140 N. CALIFORNIA
Mailing Address - Street 2:OBSTETRICS & GYNECOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:738-787-7877
Mailing Address - Fax:
Practice Address - Street 1:4700 S CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-2016
Practice Address - Country:US
Practice Address - Phone:773-584-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10042982207V00000X
FLME140888207VX0000X
IL036139656207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics