Look up the most recent NPI and PECOS records

Alexandra Soriano

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

Based on the most recent information from CMS, provider Alexandra Soriano is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1811016520
Provider Type
Individual
Full Name
Soriano, Alexandra
Title
Ms.
Credential
PHYSICIAN ASSISTANT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/27/2007
Last Updated
4/30/2021

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Mailing Location

2131 W Bowler St, Chicago, IL 60612-4201

(312) 738-0388

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085-001352 Illinois

Alexandra Soriano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Bhoomi J

Nguyen, Amy

Nguyen, Linh T

Mentzer, Aaron

Choi, Sophia

Elmore, Donald E

Nguyen, Dayna

Less, Diane Maria

Johnson, Hannah Grace

Caceres, Victor Thomas