Individual
JOSH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 LARKIN AVE, ELGIN, IL 60123-5977
(847) 695-1093
(847) 695-0501
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209015033
IL
363LF0000X
Family Nurse Practitioner
Primary
277.000904
IL
Other
Enumeration date
11/09/2016
Last updated
03/23/2023
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