# MARCOS A. LOPEZ, M.D, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225048135
- **Authorized official:** ANGELA FERMIN (FINANCIAL MANAGER)
- **Authorized official phone:** (708) 442-8010

## Contact information

- **Practice address:** 9005 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1017
- **Practice address phone:** (708) 442-8010
- **Practice address fax:** (708) 442-8009
- **Mailing address:** 9005 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1017
- **Mailing address phone:** (708) 442-8010
- **Mailing address fax:** (708) 442-8009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 10/04/2011