| Lopez Psychiatry | |
|
11309 Distinctive Dr Orland Park IL 60467-9490 | |
| (312) 779-0920 | |
| Not Available |
| Full Name | Lopez Psychiatry |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11309 Distinctive Dr, Orland Park, Illinois |
| Authorized Official Name and Position | Kimberly Lopez (CEO) |
| Authorized Official Contact | 3127790920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Psychiatry 16036 84th Pl Tinley Park IL 60487-7500 Ph: () - | Lopez Psychiatry 11309 Distinctive Dr Orland Park IL 60467-9490 Ph: (312) 779-0920 |
| NPI Number | 1750123113 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750123113 | NPI | - | NPPES |
| 309016898 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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