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1083789952
PETER JOSEPH LOPEZ
CHICAGO, IL
NPI
1083789952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-000728)
Enumeration Date
2006-11-23
Last Update Date
2007-07-08
Business Address
Mr. PETER JOSEPH LOPEZ PAC
1431 N CLAREMONT AVE
CHICAGO, IL 60622-1702
Phone number: 773-278-2000
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Mailing Address
Mr. PETER JOSEPH LOPEZ PAC
1440 WESTCHESTER BLVD
WESTCHESTER, IL 60154-3631
Phone number: 708-865-8106
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