Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1831376805 |
---|---|
Provider Name | Steven Ferdinand Van Lopik |
First Address | Orland Park, IL 60462-6558 |
Second Address | Orland Park, IL 60462-6558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2008 |
Last Update Date | 22/01/2008 |