Individual
DR. KRISTOPHER M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
3632 N WESTERN AVE, CHICAGO, IL 60618-4715
(773) 248-4111
(773) 248-4450
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016.005291
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005291
—
IL
01
—
01636066
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/25/2007
Last updated
04/26/2026
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