Individual
MR. OSPALDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 WILCOX ST, JOLIET, IL 60435-6169
(815) 740-3880
(815) 740-3303
Mailing address
228 HICKORY ST, PEOTONE, IL 60468-9822
(815) 295-3711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
06/30/2006
Last updated
04/21/2017
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