IVAN R LOPEZ MD PC
Marriage and Family Therapists in Aurora, IL

License number
Illinois 036109448
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: IVAN ROGER LOPEZ MD
Title: OWNER
Phone: (708) 890-9115
Address
Address
2003 107 SUITE 106, Aurora, IL 60504
National Provider ID: 1740512359
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IVAN R LOPEZ MD, PC

Aurora, IL 60504

Registration:
Jun 18, 2009
State ID:
66565181
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Ivan Roger Lopez,2003 Montgomery Rd STE 106, Aurora, IL 60504 (Physical)

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