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1750866703
BIANCA MARIE LOPEZ
ELGIN, IL
NPI
1750866703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.006555)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
BIANCA MARIE LOPEZ PA-C
1710 N RANDALL RD STE 160
ELGIN, IL 60123-9403
Phone number: 847-741-4376
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Mailing Address
BIANCA MARIE LOPEZ PA-C
1492 E ALGONQUIN RD
DES PLAINES, IL 60016-6628
Phone number: 773-656-5159
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