Provider Demographics
NPI:1740890458
Name:ARROYO LOPEZ, ELIZABETH (OTD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ARROYO LOPEZ
Suffix:
Gender:
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W MADISON ST UNIT 608
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3372
Mailing Address - Country:US
Mailing Address - Phone:317-833-4298
Mailing Address - Fax:
Practice Address - Street 1:290 TOWN CENTER LN
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1700
Practice Address - Country:US
Practice Address - Phone:630-942-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21288225X00000X
IL056.015114225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist