Lopez, Leonardo

Lopez, Leonardo is an individual health care provider with primary practice located at 1311 Memorial Dr Ste 500 , Mendota IL 61342-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lopez, Leonardo can be contacted via phone (815) 539-3141.

Contact Information

Primary practice address
1311 Memorial Dr Ste 500 Mendota IL 61342-3013
Phone: (815) 539-3141
Fax: (815) 487-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098968 Illinois

Profile Details

NPI number 1376643007
LBN Legal business name Lopez, Leonardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376643007 NPPES
Illinois Other 036098968 LICENSE
Illinois Other 336059388 LICENSE

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