Organization
YOUR MEDICOS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE LOPEZ MD (MEDICAL DIRECTOR)
(847) 850-5882
Entity
Organization
Contact information
Practice address
1300 BUSCH PKWY, BUFFALO GROVE, IL 60089-4505
(847) 850-5882
(847) 850-5892
Mailing address
1300 BUSCH PKWY, BUFFALO GROVE, IL 60089-4505
(847) 850-5882
(847) 850-5892
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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