Healthcare Provider Details

I. General information

NPI: 1316874563
Provider Name (Legal Business Name): JULIAN ERIC LOPEZ D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 WOLF ROAD
WESTCHESTER IL
60154
US

IV. Provider business mailing address

3070 WOLF ROAD
WESTCHESTER IL
60154
US

V. Phone/Fax

Practice location:
  • Phone: 708-223-8494
  • Fax: 708-731-3908
Mailing address:
  • Phone: 708-223-8494
  • Fax: 708-731-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024433
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: