Individual
YESENIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
432 ASHLAND AVE, ELGIN, IL 60123-7792
(224) 735-0482
Mailing address
432 ASHLAND AVE, ELGIN, IL 60123-7792
(224) 735-0482
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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