Individual
MR. PETER JOSEPH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(773) 278-2000
Mailing address
1440 WESTCHESTER BLVD, WESTCHESTER, IL 60154-3631
(708) 865-8106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
11/23/2006
Last updated
07/08/2007
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