Individual
CARMEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611
(312) 926-2000
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-3055
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036161078
IL
Other
Enumeration date
04/09/2018
Last updated
10/19/2023
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