Provider Demographics
NPI:1932982766
Name:LOPEZ DE NAVA, SARAHI
Entity Type:Individual
Prefix:
First Name:SARAHI
Middle Name:
Last Name:LOPEZ DE NAVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-4256
Mailing Address - Country:US
Mailing Address - Phone:708-704-4758
Mailing Address - Fax:
Practice Address - Street 1:199 E 25TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-4256
Practice Address - Country:US
Practice Address - Phone:708-704-4758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health