IndividualActive
Amanda Lopez
NPI 1407735012 · Pediatric Physical Therapist · Park Ridge, IL
Provider details
- NPI number
- 1407735012
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 070.029149 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-4532
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (1)
- 3232 Lake AveWilmette, IL 60091-1073Phone: (224) 266-9411
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.