Provider Demographics
NPI:1023305398
Name:KRAPP LOPEZ, FIORELLA (MD)
Entity type:Individual
Prefix:
First Name:FIORELLA
Middle Name:
Last Name:KRAPP LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N MICHIGAN AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2878
Mailing Address - Country:US
Mailing Address - Phone:314-695-5090
Mailing Address - Fax:312-503-5230
Practice Address - Street 1:645 N MICHIGAN AVE STE 900
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2878
Practice Address - Country:US
Practice Address - Phone:314-695-5090
Practice Address - Fax:312-503-5230
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011015262207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine