Individual
ROXANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N SAINT CLAIR ST FL 21, CHICAGO, IL 60611-5975
(312) 695-9197
Mailing address
675 N SAINT CLAIR ST FL 21, CHICAGO, IL 60611-5975
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006831
IL
Other
Enumeration date
05/15/2018
Last updated
05/29/2019
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