Individual
MR. EDGAR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 S PRAIRIE DRIVE, UNIT G, SYCAMORE, IL 60178
(818) 782-2211
Mailing address
920 W PRAIRIE DR STE G, SYCAMORE, IL 60178-3123
(773) 520-7494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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