Organization
LOPEZ FAMILY CHIROPRACTIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO LOPEZ JR. D.C. (DOCTOR OF CHIROPRACTIC.)
(773) 962-7892
Entity
Organization
Contact information
Practice address
4195 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 376-1162
(773) 376-1162
Mailing address
4195 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 376-1162
(773) 376-1162
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012211
IL
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038012211
—
IL
Enumeration date
10/05/2015
Last updated
10/05/2015
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