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Anthony Lopez, ATC
NPI 1891221958 · on the registry since 2017 · sole proprietor
Practice
- Address
- 14011 Kenton Ave
Crestwood, IL 60445 - Phone
- (219) 794-4653
Registry record
- Primary taxonomy
- 405300000X
405300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-11
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