Individual
MS. EVA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 W WILSON AVE, SUITE 6108, CHICAGO, IL 60640-5255
(773) 271-2036
Mailing address
1945 W WILSON AVE, CHICAGO, IL 60640-5255
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-001547
IL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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