Edmundo Lopez

NPI #1639544620 in Round Lake, Illinois

Provider Information

NPI Number
1639544620
Entity Type
Individual
Name
Edmundo Lopez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 2, 2015
Last Updated
Dec 2, 2015

Practice Location

Address
31979 N FISH LAKE RD
ZIP Code
60073-9517
Phone
(847) 546-6450

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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