Individual
DR. AMAYA LOPEZ BUSTINDUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 W WELLINGTON AVE, ROOM 3612, CHICAGO, IL 60657-5147
(773) 296-5673
Mailing address
447 N LOMBARD AVE APT 3, OAK PARK, IL 60302-2498
(708) 660-9327
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36115192
IL
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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