MR. Charles John Lopez JR.

NPI #1740433655 in Hines, Illinois

Provider Information

NPI Number: 1740433655
Entity Type: Individual
Name: MR. Charles John Lopez JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 5000 S 5TH AVE
Address 2: ROUTING 121B
City: Hines
State: Illinois
ZIP Code: 60141-3030
Phone: (708) 202-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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