Individual
ELIZABETH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1954 W IRVING PARK RD, CHICAGO, IL 60613-2408
(773) 414-4577
Mailing address
4446 S SAWYER AVE, CHICAGO, IL 60632-2819
(773) 231-4505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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