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Individual

FE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9831 S WESTERN AVE, CHICAGO, IL 60643-1791
(773) 445-3500
Mailing address
2311 W 22ND ST, SUITE 202, OAK BROOK, IL 60523-1225

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
07/28/2006
Last updated
07/08/2007
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