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Individual

ELIZABETH LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9826 S WESTERN AVE, EVERGREEN PARK, IL 60805-3200
(312) 705-9733
Mailing address
6122 S KOMENSKY AVE, CHICAGO, IL 60629-4612

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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