Ivan R Lopez MD PC

NPI #1740512359 in Aurora, Illinois

Provider Information

NPI Number: 1740512359
Entity Type: Organization
Organization Name: Ivan R Lopez MD PC
Subpart: Yes (part of a larger organization)
Parent Organization: IVAN R LOPEZ MD PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 6, 2010
Last Updated: Sep 13, 2022

Practice Location

Address: 2003 MONTGOMERY RD
Address 2: SUITE 106 107
City: Aurora
State: Illinois
ZIP Code: 60504-9078
Phone: (630) 340-4211

Authorized Official

Name: IVAN ROGER LOPEZ, MD
Title: OWNER
Phone: (708) 890-9115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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