Individual
MR. JOHN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,MLDT,MMP
Contact information
Practice address
1910 S HIGHLAND AVE STE 260, LOMBARD, IL 60148-6129
(630) 776-3043
(630) 929-1390
Mailing address
1311 S FINLEY RD APT 313, LOMBARD, IL 60148-4356
(630) 303-0010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.020840
IL
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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