Individual
MR. STEVEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
205 E BUTTERFIELD RD, BOX 130, ELMHURST, IL 60126
(708) 268-0660
(630) 782-0564
Mailing address
205 E BUTTERFIELD RD, BOX 130, ELMHURST, IL 60126
(708) 268-0660
(630) 782-0564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
238.000011
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246ZC0007X
ILLINOIS
IL
Enumeration date
08/19/2006
Last updated
02/17/2016
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