Individual
DR. ALEX LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20006 WOLF RD, MOKENA, IL 60448-1320
(708) 478-1022
Mailing address
21712 KELLY ANN LN, SHOREWOOD, IL 60404-7684
(779) 225-5603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011594
IL
Other
Enumeration date
11/15/2021
Last updated
11/18/2021
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