Lopez, Carlos Ivan

Lopez, Carlos Ivan is an individual health care provider with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is his primary health care specialty. Lopez, Carlos Ivan can be contacted via phone (312) 569-8387.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (312) 569-8387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17591 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.018669 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 397297 Illinois

Profile Details

NPI number 1467227223
LBN Legal business name Lopez, Carlos Ivan
Credentials MA,CRC,CADC,LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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