Individual
ANGELICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
303 N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Mailing address
303 N JACKSON ST, MORRISON, IL 61270-3042
(815) 772-4003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027597
IL
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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