NPI 1003624032

Pablo Lopez

Practitioner Massage Therapist Cicero, IL

Practice location

Address: 2411 S Central Ave, Cicero, IL 60804-2726
Phone: (708) 733-0030

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.022205 (IL)

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Registry record

NPI: 1003624032
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2024
Record last updated: 23 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.