Individual
EMILIANO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 GRACE ST, BENSENVILLE, IL 60106-2610
(630) 744-9410
Mailing address
411 GRACE ST, BENSENVILLE, IL 60106-2610
(630) 744-9410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003388
IL
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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