Enrique Lopez, BA
Case Manager/Care Coordinator in Chicago, IL. Individual provider (NPI-1).
NPI number1982171815
StatusActive
Last updated in NPPESOct 29, 2018
Details
- NPI
- 1982171815
- Entity type
- Individual (NPI-1)
- Name
- Enrique Lopez
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2018
- Last updated
- Oct 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3843 W 63rd StChicago, IL 60629-4623
Phone 773-884-2297 · Fax 773-884-0003
Mailing address
3843 W 63rd StChicago, IL 60629-4623
Phone 773-884-2297 · Fax 773-884-0003
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