Individual
ALICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(708) 792-0715
Mailing address
5815 S MASSASOIT AVE, CHICAGO, IL 60638-3727
(708) 655-0632
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
02/02/2026
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