Carlos Ivan Lopez, MA,CRC,CADC,LPC is a
Rehabilitation Counselor based in Chicago, Illinois. Carlos Ivan Lopez is licensed to practice in Illinois (license number 397297) and his current practice location is
820 S Damen Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(312) 569-8387.
NPI number for Carlos Ivan Lopez is 1467227223 and his current mailing address is 820 S Damen Ave, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467227223.
Healthcare Provider's Profile
Full Name | Carlos Ivan Lopez |
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Gender | Male |
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Speciality | Rehabilitation Counselor |
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Location | 820 S Damen Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467227223
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/28/2023
Medical Identifiers
Medical identifiers for Carlos Ivan Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467227223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 17591 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 178.018669 (Illinois) | Secondary |
225C00000X | Rehabilitation Counselor | 397297 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos Ivan Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carlos Ivan Lopez, MA,CRC,CADC,LPC 820 S Damen Ave, Chicago, IL 60612-3728 Ph: (312) 569-8387 | Carlos Ivan Lopez, MA,CRC,CADC,LPC 820 S Damen Ave, Chicago, IL 60612-3728 Ph: (312) 569-8387 |
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