Individual
JOAQUIN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6238 CERMAK RD, BERWYN, IL 60402-2319
(708) 795-5020
(708) 795-5023
Mailing address
6238 CERMAK RD, BERWYN, IL 60402-2319
(708) 795-5020
(708) 795-5023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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