Individual
MRS. MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
792 S SPRING RD, ELMHURST, IL 60126-4724
(630) 202-0969
Mailing address
792 S SPRING RD, ELMHURST, IL 60126-4724
(630) 202-0969
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/30/2012
Last updated
06/30/2012
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