Individual
HECTOR ROBERTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S FAIRFIELD AVE # F-914, CHICAGO, IL 60608-1782
(773) 257-5914
(773) 257-6027
Mailing address
1500 S FAIRFIELD AVE # F-914, CHICAGO, IL 60608-1782
(773) 257-5914
(773) 257-6027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.079078
IL
207R00000X
Internal Medicine Physician
125079078
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2021
Last updated
09/20/2022
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