Lopez, Edmundo
Lopez, Edmundo is an individual health care provider with primary practice located at 31979 N Fish Lake Rd , Round Lake IL 60073-9517. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lopez, Edmundo can be contacted via phone (847) 546-6450.Contact Information
Primary practice address
31979 N Fish Lake Rd
Round Lake IL 60073-9517
Phone: (847) 546-6450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18030 | Illinois |
Profile Details
| NPI number | 1639544620 |
|---|---|
| LBN Legal business name | Lopez, Edmundo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2015 |
| Last updated | Dec 2nd, 2015 - about 9 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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