ENRIQUE LOPEZ

CHICAGO, IL
NPI1982171815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
ENRIQUE LOPEZ BA
3843 W 63RD ST
CHICAGO, IL 60629-4623
Phone number: 773-884-2297
Mailing Address
ENRIQUE LOPEZ BA
3843 W 63RD ST
CHICAGO, IL 60629-4623
Phone number: 773-884-2297