Individual
BIANCA ALEXIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-5893
(630) 978-6200
Mailing address
2000 OGDEN AVE, AURORA, IL 60504-5893
(630) 978-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
08/30/2024
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