Individual
IRMA ESTEFANIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 W 81ST ST, BURBANK, IL 60459-1930
(773) 299-4286
Mailing address
5701 W 81ST ST, BURBANK, IL 60459-1930
(773) 299-4286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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