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1982171815
ENRIQUE LOPEZ
CHICAGO, IL
NPI
1982171815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
ENRIQUE LOPEZ BA
3843 W 63RD ST
CHICAGO, IL 60629-4623
Phone number: 773-884-2297
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Mailing Address
ENRIQUE LOPEZ BA
3843 W 63RD ST
CHICAGO, IL 60629-4623
Phone number: 773-884-2297
Copy
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