Organization
PEDRO LOPEZ, M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HUNTENBURG (BILLING MGR)
(630) 665-8047
Entity
Organization
Contact information
Practice address
5525 S PULASKI RD, CHICAGO, IL 60629-4417
(773) 585-1955
Mailing address
PO BOX 3176, GLEN ELLYN, IL 60138-3176
(630) 665-8047
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/14/2007
Last updated
11/09/2012
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