Individual
ALEJANDRO LOPEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5628 W EASTWOOD AVE, CHICAGO, IL 60630-3308
(312) 818-9386
Mailing address
5628 W EASTWOOD AVE, CHICAGO, IL 60630-3308
(312) 818-9386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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