Individual
KATHLEEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1420 KENSINGTON RD, STE 106, OAK BROOK, IL 60523-2143
(630) 427-4192
Mailing address
1420 KENSINGTON RD, STE 106, OAK BROOK, IL 60523-2143
(630) 427-4192
(630) 574-1681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003035
IN
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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