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1013370519
MICHAEL LOPEZ
CHICAGO, IL
NPI
1013370519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: ND 1011)
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
-- MICHAEL LOPEZ
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604-3597
Phone number: 312-734-1001
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Mailing Address
-- MICHAEL LOPEZ
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604-3597
Phone number:
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