Individual
PABLO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 S CENTRAL AVE, CICERO, IL 60804-2726
(708) 733-0030
Mailing address
2411 S CENTRAL AVE, CICERO, IL 60804-2726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022205
IL
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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