DR. Octavio Menelao Lopez, M.D.

NPI #1700881455 in Worth, Illinois

Provider Information

NPI Number: 1700881455
Entity Type: Individual
Name: DR. Octavio Menelao Lopez, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 18, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 11315 S HARLEM AVE
City: Worth
State: Illinois
ZIP Code: 60482-2001
Phone: (708) 448-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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