SearchIllinois363LF0000X

Nicole Lopez

NPI 1215856695 · on the registry since 2026

Practice

Address
389 E Main St
Braidwood, IL 60408
Phone
(815) 458-2532
Clinicians at this address
2

Additional practice sites

  • 150 W High St, Morris, IL
  • 101 S Prairie Ave, Dwight, IL

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LP2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois