CHARLES JOHN LOPEZ

HINES, IL
NPI1740433655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: IL  211000139)
Enumeration Date2008-10-23
Last Update Date2008-10-23
Business Address
Mr. CHARLES JOHN LOPEZ
5000 S 5TH AVE ROUTING 121B
HINES, IL 60141-3030
Phone number: 708-202-8387
Mailing Address
Mr. CHARLES JOHN LOPEZ
5000 S 5TH AVE ROUTING 121B
HINES, IL 60141-3030
Phone number: 708-202-8387