Dr Octavio Menelao Lopez, MD is a
Internal Medicine physician based in Worth, Illinois. Dr Octavio Menelao Lopez is licensed to practice in Illinois (license number 36079369) and his current practice location is 11315 S Harlem Ave, Worth, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 448-8899.
NPI number for Dr Octavio Menelao Lopez is 1700881455 and his current mailing address is 11315 S Harlem Ave, Worth, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700881455.
Physician's Profile
| Full Name | Dr Octavio Menelao Lopez |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 11315 S Harlem Ave, Worth, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700881455
- Provider Enumeration Date: 06/18/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Octavio Menelao Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700881455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 36079369 (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. Dr Octavio Menelao 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 |
|---|
Dr Octavio Menelao Lopez, MD
11315 S Harlem Ave,
Worth, IL 60482-2001
Ph: (708) 448-8899 | Dr Octavio Menelao Lopez, MD
11315 S Harlem Ave,
Worth, IL 60482-2001
Ph: (708) 448-8899 |
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