Individual
ELMER SAUL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 769-4313
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 769-4313
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IL
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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