ANTHONY LOPEZ

CRESTWOOD, IL
NPI1891221958
Other NameTONY LOPEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy405300000X Prevention Professional
(Licence: IL  2000026450)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
-- ANTHONY LOPEZ ATC
14011 KENTON AVE
CRESTWOOD, IL 60445-2252
Phone number: 219-794-4653
Mailing Address
-- ANTHONY LOPEZ ATC
5750 ABBEY DR APT 2C
LISLE, IL 60532-2582
Phone number: 309-721-6705