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Organization
ASSOCIATED PHYSICIANS, SC
Active
Organization
ASSOCIATED PHYSICIANS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO LOPEZ M.D. (PRESIDENT)
(815) 538-2031
Entity
Organization
Contact information
Practice address
1405 E 12TH ST, SUITE 300, MENDOTA, IL 61342-9011
(815) 539-3141
(815) 487-4901
Mailing address
1405 E 12TH ST, SUITE 300, MENDOTA, IL 61342-9010
(815) 539-3141
(815) 487-4901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036097934
IL
Other
Enumeration date
03/07/2007
Last updated
04/04/2012
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