Individual
DR. GREGORY DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST, STE 300, CHICAGO, IL 60612-4861
(708) 236-2600
Mailing address
1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 60154-5701
(708) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036137855
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2010
Last updated
01/09/2017
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