ANTHONY LOPEZ (NPI# 1891221958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891221958 |
Entity Type | Individual |
Full Name | ANTHONY LOPEZ |
Other Name | TONY LOPEZ |
Credential | ATC |
Practice Address |
14011 Kenton Ave Crestwood IL 60445-2252 |
Mailing Address |
5750 Abbey Dr Apt 2c Lisle IL 60532-2582 |
Practice Telephone | 2197944653 |
Mailing Telephone | 3097216705 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 405300000X | Prevention Professional | 2000026450 | IL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104312735 | Anthony William Lopez Jr. | Chiropractor | 15007 Creosote Rd Ste A, Gulfport, MS 39503-4392 | 2018-07-06 |
1205298973 | Anthony Michael Rudolph Lopez | Chiropractor | 21226 Ventura Blvd # 294, Woodland Hills, CA 91364-2106 | 2016-03-22 |
1477820660 | Anthony Ryan Lopez | Optometrist | 3815 56th Street Ct Nw, Gig Harbor, WA 98335-7120 | 2011-11-16 |
1265883912 | Anthony Luis Lopez | General Practice | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2016-06-23 |
1881057578 | Anthony Feliciano Lopez | Counselor | 1420 Bushwick Ave, Brooklyn, NY 11207-1422 | 2016-03-31 |
1871961391 | Anthony Lopez | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2015-09-15 |
1114394079 | Anthony Michael Lopez | Community Health Worker | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2015-08-27 |
1245511690 | Anthony Lopez | Rehabilitation Practitioner | 4660 S Eastern Ave, Suite 200, Las Vegas, NV 89119-6137 | 2011-08-30 |
1356576623 | Anthony Raul Lopez | Anesthesiology | 410 W 10th Ave, N417 Doan Hall, Columbus, OH 43210-1240 | 2009-05-15 |
1609042159 | Anthony Lopez | Physician Assistant | 585 Schenectady Ave, Manage Care Department Blumberg Building 6th Floor, Brooklyn, NY 11203-1809 | 2008-05-05 |
Street Address |
14011 KENTON AVE |
City | CRESTWOOD |
State | IL |
Zip Code | 60445-2252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
Find all providers in zip 60445 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333944 | Ariq Cabbler | Prevention Professional | 5642 S Prairie Ave Apt 3, Chicago, IL 60637-1575 | 2019-12-18 |
1891260931 | Kevin Wayne Kackley | Prevention Professional | 897 850e St, Mt Sterling, IL 62353-1798 | 2018-10-04 |
1013436765 | Christen Bridgwater | Prevention Professional | 312 Apple River Dr, Naperville, IL 60565-6324 | 2017-09-13 |
1366978686 | Sarina Marie Gutierrez | Prevention Professional | 11501 S Villa Ct, Alsip, IL 60803-4361 | 2017-05-05 |
1164957213 | Excellent Care, LLC | Prevention Professional | 9514 Kedvale Ave, Skokie, IL 60076-1425 | 2017-04-26 |
1679008734 | Dr Meda Professional Corporation | Prevention Professional | 1215 N Humphrey Ave, Oak Park, IL 60302-1111 | 2017-04-26 |
1801337225 | Danielle Marie Flores | Prevention Professional | 1747 W Goldengate Dr, Addison, IL 60101-1845 | 2017-03-17 |
1265039713 | Rashada C James | Prevention Professional | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
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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.