Lopez, Licia

Lopez, Licia is an individual health care provider with primary practice located at 4600 N Ravenswood Ave , Chicago IL 60640-4510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lopez, Licia can be contacted via phone (773) 561-7500.

Contact Information

Primary practice address
4600 N Ravenswood Ave Chicago IL 60640-4510
Phone: (773) 561-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.081537 Illinois

Profile Details

NPI number 1134875057
LBN Legal business name Lopez, Licia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2022
Last updated Jun 21st, 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.

Request for update

Popular Providers