Individual
MS. YOLANDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
333 W 94TH PL, CHICAGO, IL 60620-1505
(773) 291-9094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041371111
IL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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