Individual
DR. ROBERTO G LOPEZ-TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1747 W ROOSEVELT RD FL 2, CHICAGO, IL 60608-1264
(312) 355-0336
Mailing address
3035 N HONORE ST, CHICAGO, IL 60657-2007
(847) 714-6314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010284
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071.010284
IL
Other
Enumeration date
05/27/2020
Last updated
07/08/2020
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