Most Relevant Information
Provider Data
| NPI Number: | 1003671454 |
| Provider Name: | JOHN LOPEZ LMT,MLDT,MMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 227.020840 |
Most Important Dates
| Enumeration Date: | 02/15/2024 |
| Last Updated: | 02/15/2024 |
Provider Practice Location
1910 S HIGHLAND AVE STE 260
LOMBARD
IL
601486129
Practice Location Phone/Fax
| Phone: | 6307763043 |
| Fax: | 6309291390 |
Provider Mailing Location
1311 S FINLEY RD APT 313
LOMBARD
IL
601484356
Provider Mailing Phone/Fax
| Phone: | 6303030010 |
| Fax: |