MR. PETER JOSEPH LOPEZ (NPI# 1083789952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083789952 |
| Entity Type | Individual |
| Full Name | MR. PETER JOSEPH LOPEZ |
| Credential | PAC |
| Practice Address |
1431 N Claremont Ave Chicago IL 60622-1702 |
| Mailing Address |
1440 Westchester Blvd Westchester IL 60154-3631 |
| Practice Telephone | 7732782000 |
| Mailing Telephone | 7088658106 |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114119633 | Peter Alan Lopez | Chiropractor | 8500 Wilshire Blvd, Penthouse Suite, Beverly Hills, CA 90211-3121 | 2007-08-17 |
| 1346383197 | Peter Lopez | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2007-02-14 |
| 1013058650 | Peter Lopez | Licensed Psychiatric Technician | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2007-02-08 |
| 1497862478 | Peter P Lopez | Surgery | 27209 Lahser Rd, Ste 128, Southfield, MI 48034-8401 | 2006-08-24 |
| 1275588337 | Peter J Lopez | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2006-05-24 |
| 1366404550 | Peter Vincent Lopez | Orthopaedic Surgery | 721 W Robertson St, Suite 102, Brandon, FL 33511-4934 | 2006-04-04 |
| Street Address |
1431 N CLAREMONT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548257793 | St.elizabeth-skilled Facility | General Acute Care Hospital | 1431 N Claremont Ave, Chicago, IL 60622-1702 | 2005-10-03 |
| 1881291342 | Robert Duncan | Nurse Practitioner | 1431 N Claremont Ave, Chicago, IL 60622-1702 | 2020-10-07 |
| 1568071447 | Olivia Mary Buckley | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Ave, Chicago, IL 60622-1702 | 2020-07-27 |
| 1730729955 | Hannah Lee | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Ave, Chicago, IL 60622-1702 | 2020-01-15 |
| 1497394043 | William Fleischer | Nurse Practitioner | 1431 N Claremont Ave, Chicago, IL 60622-1702 | 2019-12-30 |
| 1508338351 | Colin William Husted | Nurse Anesthetist, Certified Registered | 1431 N Claremont Ave, Chicago, IL 60622-1702 | 2018-12-18 |
| 1386190437 | Jamie Nicole Wichman | Social Worker | 1431 N Claremont Ave, 2nd Floor Pavilion, Chicago, IL 60622-1702 | 2016-08-29 |
| 1558815829 | Robert Hogge | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Ave, 2nd Floor Pavilion, Chicago, IL 60622-1702 | 2016-08-04 |
| 1275086670 | Alice Caceda | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Ave, 2nd Floor Pavilion, Chicago, IL 60622-1702 | 2016-08-02 |
| 1851745996 | Anneliese Moy, Lcsw, LLC | Social Worker | 1431 N Claremont Ave, 2nd Fl Pavillion, Chicago, IL 60622-1702 | 2016-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.