Individual
CASSANDRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 171ST ST, TINLEY PARK, IL 60477-3514
(708) 614-4525
Mailing address
7705 S KILPATRICK AVE, CHICAGO, IL 60652-1101
(773) 895-4700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007601
IL
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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