Organization
OCTAVIO M. LOPEZ MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO M LOPEZ MD (PRESIDENT)
(708) 448-8899
Entity
Organization
Contact information
Practice address
11315 S HARLEM AVE, WORTH, IL 60482-2025
(708) 448-8899
(708) 448-9988
Mailing address
11315 S HARLEM AVE, WORTH, IL 60482-2025
(708) 448-8899
(708) 448-9988
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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