Individual
BEENA V. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
255 N MCLEAN BLVD, SOUTH ELGIN, IL 60177-1800
(866) 389-2727
Mailing address
255 N MCLEAN BLVD, SOUTH ELGIN, IL 60177-1800
(847) 695-7193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277003154
IL
Other
Enumeration date
07/09/2020
Last updated
10/29/2024
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