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Individual

BRIANNA MARIA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 984-5085
Mailing address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/26/2023
Last updated
10/06/2023
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Product
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  • Eligibility checks
  • EDI platform