Individual
JACKELIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4830 GRAND AVE, GURNEE, IL 60031-2618
(847) 662-2585
Mailing address
17223 CHICAGO AVE, LANSING, IL 60438-1205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051308381
IL
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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