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Henry Lopez Cordero, M.d., S.c.
Specialist in Chicago, Illinois
NPI 1346556057

Henry Lopez Cordero, M.d., S.c. is a Specialist based in S Barrington, IL. Henry Lopez Cordero, M.d., S.c. practices in Chicago, IL. The NPI Number for Henry Lopez Cordero, M.d., S.c. is 1346556057 and holds a License No. 036048675 (Illinois).

The current practice location address for Henry Lopez Cordero, M.d., S.c. is 2002 N Damen Ave, Chicago, IL and can be reached out via phone at 773-486-6553.

Location: 2002 N Damen Ave, Chicago, IL, 60010-6156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346556057
Provider Name
Henry Lopez Cordero, M.d., S.c.
Credential
Provider Entity Type
Organization
Address
2002 N Damen Ave, Chicago, IL, 60010-6156
Phone Number
773-486-6553
Fax Number
Provider Enumeration Date
08/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036048675 05 IL
00216062921 01 IL BCBS
14D0873925EFFE 01 IL CLIA
institution
Provider Business Practice Location Address Details
Address
2002 N Damen Ave
City
Chicago
State
Illinois
Zip
60647-4527
Phone Number
773-486-6553
Fax Number
person
Provider Business Mailing Address Details
Address
2002 N Damen Ave
City
Chicago
State
Illinois
Zip
60647-4527
Phone Number
773-486-6553
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036048675 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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