Individual
MS. ISHALY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W BELMONT AVE, CHICAGO, IL 60657-3200
(312) 945-8651
Mailing address
946 N LARAMIE AVE, CHICAGO, IL 60651-2958
(773) 816-0043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IL
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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