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Dr. Reynold Ivan Lopez-Soler, M.D./Ph.D.

Transplant Surgery in Maywood, IL. Individual provider (NPI-1).

NPI number1871769398
StatusActive
Last updated in NPPESApr 19, 2021

Details

NPI
1871769398
Entity type
Individual (NPI-1)
Name
Dr. Reynold Ivan Lopez-Soler
Credential
M.D./Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 5, 2008
Certification date
Apr 19, 2021
Last updated
Apr 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204F00000X Transplant Surgery036.124007ILYes
204F00000X Transplant Surgery273996NY

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-9000

Mailing address

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-9000

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