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Contact Information

MANUEL E LOPEZ, MD
4500 MEMORIAL DR
BELLEVILLE, IL62226
 Phone: 618-257-6220
 Fax: 618-257-6679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MANUEL E LOPEZ · (Male)

NPI Number 1437158052
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2005
Last updated 03/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-147907
  • NC License # 9401258
  • NC Medicaid 8952841
Hospital affiliation(s)
  • MEMORIAL HOSPITAL - (Acute Care)
    4500 MEMORIAL DRIVE
    BELLEVILLE, IL 62226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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