DR. ALICIA LOPEZ (NPI# 1487987707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487987707 |
| Entity Type | Individual |
| Full Name | DR. ALICIA LOPEZ |
| Credential | M.D. |
| Practice Address |
9760 S Kedzie Ave Suite 11 Evergreen Park IL 60805-3109 |
| Practice Telephone | 7083467000 |
| Practice Fax Number | 7083466180 |
| Mailing Telephone | 7083467000 |
| Mailing Fax Number | 7083466180 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036.121257 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548667207 | Alicia Lopez | Nurse Practitioner | 2858 Maple Brook Loop, Lutz, FL 33558-5050 | 2014-11-24 |
| 1437578382 | Alicia Maria Lopez | Family Medicine | 4323 Carothers Pkwy Ste 505, Franklin, TN 37067-5920 | 2014-04-08 |
| 1932520947 | Alicia Lopez | Case Manager/Care Coordinator | 6435 Sw Skiver Ct, Aloha, OR 97007-4223 | 2013-12-17 |
| 1205468295 | Alicia Lopez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-02-07 |
| 1649826298 | Alicia Lopez | Technician | 7040 Laredo St Ste E, Las Vegas, NV 89117-3044 | 2019-08-09 |
| 1659835700 | Alicia Lopez | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shroc, Portales, NM 88130 | 2019-01-23 |
| 1578048906 | Alicia Lopez | Case Manager/Care Coordinator | 1600 E Belle Ter, Bakersfield, CA 93307-3871 | 2018-10-02 |
| 1467952747 | Alicia Lopez | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2018-02-13 |
| 1376904847 | Alicia Lynn Lopez | Physical Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-03-11 |
| 1063871739 | Alicia Lopez | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2016-02-23 |
| Street Address |
9760 S KEDZIE AVE SUITE 11 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836663 | Thomas Joseph | Internal Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2005-10-26 |
| 1518445543 | Christine Najarian | Physician Assistant | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2018-08-01 |
| 1760927057 | Wellcare Pharmacy LLC | Pharmacy | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2016-12-22 |
| 1457894768 | Rachel Brucas | Physician Assistant | 9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 | 2016-11-18 |
| 1841587334 | Kristina Ann Johnson | Family Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2011-07-05 |
| 1033438460 | Health Solutions At Home Inc | Home Health | 9760 S Kedzie Ave, Suite 10b, Evergreen Park, IL 60805-3109 | 2010-05-25 |
| 1073746046 | George Thomas | Family Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2009-08-25 |
| 1447449616 | Evergreen Care Center Ltd | General Practice | 9760 S Kedzie Ave, Suite 3, Evergreen Park, IL 60805-3109 | 2007-10-23 |
| 1891984068 | Park Primary Care Ltd | General Practice | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2007-10-23 |
| 1740488154 | Thomas Anthony Koludrovic | Dentist | 9760 S Kedzie Ave, Suite 4, Evergreen Park, IL 60805 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467614750 | Huma Ali Khan | Pediatrics | 9730 S Western Ave Ste 500, Evergreen Park, IL 60805-2780 | 2008-06-27 |
| 1548337793 | Pediatric Associates PC | Pediatrics | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2006-11-30 |
| 1225066129 | Kunhunni Vellody | Pediatrics | 2850 W 95th Street, Suite 203, Evergreen Park, IL 60805-2734 | 2006-06-29 |
| 1407405236 | Emily Santolin | Pediatrics | 3749 W 95th St, Evergreen Park, IL 60805-2019 | 2019-09-04 |
| 1215279393 | Katherine M Riff | Pediatrics | 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 | 2013-03-26 |
| 1922104025 | Hassan Alzein | Pediatrics | 2850 W 95th St, Suite 400, Evergreen Park, IL 60805-2735 | 2006-09-15 |
| 1245345545 | Calliope C Andricacou | Pediatrics | 2850 W 95th St, #404, Evergreen Park, IL 60805 | 2006-08-20 |
| 1396757407 | Sunnette C Varnado-smith | Pediatrics | 9730 S Western Ave, Suite 500, Evergreen Park, IL 60805-2814 | 2006-08-13 |
| 1770593071 | Loris Rayner | Pediatrics | 9730 S Western Ave, Suite 500, Evergreen Park, IL 60805-2814 | 2006-08-09 |
| 1700896008 | Lin Roberts | Pediatrics | 9730 S Western Ave, Suite 500, Evergreen Park, IL 60805-2814 | 2006-08-09 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.