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Contact Information

BERTHA A LOPEZ, MD
1 ERIE CT
6040
OAK PARK, IL60302-2566
 Phone: 708-386-1390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BERTHA A LOPEZ · (Female)

NPI Number 1578582979
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 12/31/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036090643
  • IL Medicaid 36090643
  • IL Other 1621924 BCBS GROUP NUMBER
  • IL Other 207667 MEDICAER GROUP NUMBER
Hospital affiliation(s)
  • WEST SUBURBAN MEDICAL CENTER - (Acute Care)
    3 ERIE COURT
    OAK PARK, IL 60302
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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