Individual
DR. MARCOS ANTONIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9005 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1017
(708) 442-8010
(708) 442-8009
Mailing address
9005 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1017
(708) 442-8010
(708) 442-8009
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036092620
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092620
—
IL
Enumeration date
08/09/2006
Last updated
07/08/2007
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