LICIA LOPEZ

CHICAGO, IL
NPI1134875057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.081537)
Enumeration Date2022-03-01
Last Update Date2023-06-21
Business Address
LICIA LOPEZ DO
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640-4510
Phone number: 773-561-7500
Mailing Address
LICIA LOPEZ DO
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640-4510
Phone number: 773-561-7500
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