Berenice Lopez is a General Practice in Berwyn, Illinois. Berenice Lopez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Berenice Lopez is 1215052790. The last update date is 2013-09-30.
Berenice Lopez's current location address is 7039 Roosevelt Rd, Berwyn, Illinois. You can contact this provider via phone number 7084842480. The mailing address for Berenice Lopez is 7039 Roosevelt Rd, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Berenice Lopez |
|---|---|
| Address | 7039 Roosevelt Rd, Berwyn, Illinois |
| Phone Number | 7084842480 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215052790 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2013-09-30 |
Provider Mailing Address Detail
| Address | 7039 Roosevelt Rd |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604021059 |
| Phone Number | 7084842480 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19026165 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Berenice Lopez?
The Berenice Lopez has been issued the NPI (National Provider Identifier) 1215052790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Berenice Lopez?
The Berenice Lopez is physically situated at 7039 Roosevelt Rd, in the city of Berwyn, state of IL, with the postal code 604021059.
What is Berenice Lopez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Berenice Lopez is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Berenice Lopez receive the assignment of its 1215052790 from the Centers for Medicare & Medicaid Services?
The Berenice Lopez was issued its 1215052790 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the Berenice Lopez's information last updated?
The Berenice Lopez's information was last updated on 2013-09-30.