# TYRRELL LOPEZ NURSES

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

## Provider details

- **NPI number:** 1528212941
- **Authorized official:** DIANE JONES (ADMINISTRATOR)
- **Authorized official phone:** (630) 244-2080

## Contact information

- **Practice address:** 3108 S ROUTE 59, NAPERVILLE, IL 60564-8021
- **Practice address phone:** (630) 244-2080
- **Mailing address:** 3108 S ROUTE 59, NAPERVILLE, IL 60564-8021
- **Mailing address phone:** (630) 244-2080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010188 | IL | Yes |

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 11/12/2008
