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Individual

MS. AMANDA ISABEL LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4070
Mailing address
7240 HEATHER TRL, JUSTICE, IL 60458-1291
(708) 574-2000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015722
IL

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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