Individual provider Active NPI

Jose Favor Sotelo, RN

  • Administrator Registered Nurse
  • Lincolnwood, IL
National Provider Identifier
1932396801
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
Practice address
7337 N Lincoln Ave
Suite 295
Lincolnwood, IL 60712-1700
Phone
(847) 673-4110
Fax
(847) 673-0478
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X IL Primary

Addresses

Primary practice location

7337 N Lincoln Ave
Suite 295
Lincolnwood, IL 60712-1700

Mailing address

7337 N Lincoln Ave
Suite 295
Lincolnwood, IL 60712-1700
Phone (847) 673-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-297320ILMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Home Health Services, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1932396801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 N LINCOLN AVE",
            "address_2": "SUITE 295",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121700",
            "telephone_number": "847-673-4110",
            "fax_number": "847-673-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 N LINCOLN AVE",
            "address_2": "SUITE 295",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121700",
            "telephone_number": "847-673-4110",
            "fax_number": "847-673-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "JOSE",
        "middle_name": "FAVOR",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.