Individual
DAISY MARITZA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5919 W CERMAK RD, CICERO, IL 60804-2136
(708) 222-6600
Mailing address
5512 W EDDY ST, CHICAGO, IL 60641-3247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036406
IL
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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