ANTHONY LOPEZ ATC
NPI 1891221958
Prevention Professional in Crestwood, IL

Active since May 11, 2017
14011 KENTON AVE, CRESTWOOD, IL 60445(219) 794-4653 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anthony Lopez Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY LOPEZ ATC (NPI 1891221958) is an individual prevention professional provider in Crestwood, Illinois, licensed in Illinois (2000026450) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1891221958
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameANTHONY LOPEZCredential: ATC
Location Address14011 KENTON AVECrestwood, IL 60445-2252
Mailing Address5750 Abbey Dr, Apt 2cLisle, IL 60532-2582 · (309) 721-6705
Sole ProprietorYes
Enumeration DateMay 11, 2017
NPI 1891221958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License Licensed in IL · 2000026450
Definition

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.

14011 KENTON AVE, Crestwood, IL 60445

Other Names 1

Other Name (5)Tony Lopez

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891221958, enumerated as an "individual" on May 11, 2017.

The provider is located at 14011 KENTON AVE CRESTWOOD, IL 60445 and the phone number is (219) 794-4653.

Prevention Professional with taxonomy code 405300000X.