Individual
DR. OSVALDO I LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3982 N MILWAUKEE AVE, CHICAGO, IL 60641-2703
(773) 282-2000
(773) 282-9428
Mailing address
3982 N MILWAUKEE AVE, CHICAGO, IL 60641-2703
(773) 282-2000
(773) 282-9428
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036044342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044342
—
IL
Enumeration date
05/26/2006
Last updated
12/19/2014
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