Individual
MRS. KAITLAN ARIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 LIBERTY BLVD APT 1, WESTMONT, IL 60559-1348
(630) 426-9386
Mailing address
6324 W 92ND ST, OAK LAWN, IL 60453-1406
(773) 865-1201
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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