DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. OCTAVIO MENELAO LOPEZ M.D.

MEDICARE: DR. OCTAVIO MENELAO LOPEZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician36079369IL

General Provider Information

NPI Number : 1700881455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OCTAVIO MENELAO LOPEZ M.D.
Provider Business Mailing Address
First Line : 11315 S HARLEM AVE
Second Line :
City : WORTH
State : IL
Zip : 60482-2001
Country : US
Telephone Number : 708-448-8899
Fax Number : 708-448-9988
Provider Business Practice Location Address
First Line : 11315 S HARLEM AVE
Second Line :
City : WORTH
State : IL
Zip : 60482-2001
Country : US
Telephone Number : 708-448-8899
Fax Number : 708-448-9988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1427405745 — ASD LIFE INC.
Practice Location Address:
11301 S HARLEM AVE
WORTH, IL
60482-2001
Practice Phone: 708-586-2604
Practice Fax: 866-823-8780
1790336378 — MS. HAN NGOC NGUYEN
Practice Location Address:
11301 S HARLEM AVE
WORTH, IL
60482-2001
Practice Phone: 866-273-8060
Practice Fax:
1831783380 — VERONICA MARTINEZ
Practice Location Address:
11301 S HARLEM AVE
WORTH, IL
60482-2001
Practice Phone: 708-586-2604
Practice Fax:
1518547728 — MBW700
Practice Location Address:
11319 S HARLEM AVE
WORTH, IL
60482-2001
Practice Phone: 913-526-5282
Practice Fax:
1104408947 — ASHLEY VERONICA BENSON
Practice Location Address:
11301 S HARLEM AVE
WORTH, IL
60482-2001
Practice Phone: 708-586-2604
Practice Fax:
1417523440 — VICTORIA CHRISTENSEN BCBA
Practice Location Address:
11301 S HARLEM AVE
WORTH, IL
60482-2001
Practice Phone: 708-305-3697
Practice Fax:

Directions to “ DR. OCTAVIO MENELAO LOPEZ M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.