Individual
ALEXA ANAIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 929-2249
Mailing address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 929-2249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-005420
IL
Other
Enumeration date
01/25/2019
Last updated
11/08/2023
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