Provider Demographics
NPI:1578582771
Name:RAMIREZ-LOPEZ, NESTOR ALFONSO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:ALFONSO
Last Name:RAMIREZ-LOPEZ
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:NESTOR
Other - Middle Name:A
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:856 W NELSON ST
Mailing Address - Street 2:SUITE # 805
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5152
Mailing Address - Country:US
Mailing Address - Phone:773-318-0370
Mailing Address - Fax:773-935-5042
Practice Address - Street 1:836 W WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5147
Practice Address - Country:US
Practice Address - Phone:773-296-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine