Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891221958 Individual Practitioner Male Practitioner

Anthony Lopez , ATC

Prevention Professional • Crestwood, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Anthony Lopez, ATC is a registered healthcare professional specializing in Prevention Professional in Crestwood, IL. Official NPI practice address is registered at 14011 KENTON AVE.

Practice Location & Contact Primary Location

Practice Address

14011 Kenton Ave

Crestwood, IL 604452252

Telephone 2197944653

Specialty Benchmarks & Practice Insights

Comparative analytics for Prevention Professional in Crestwood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Crestwood, IL (12 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prevention Professional Primary Specialty

NUCC Taxonomy Code: 405300000X

State License IL 2000026450

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Audric Warren , MS, ATC, PES, CES

Specialist/Technologist - Athletic Trainer

NPI 1164761607

Master of Science, Certified Athletic Trainer, PES, CES

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 14011 KENTON AVE, CRESTWOOD, IL 604452252 (Tel: 2197944653)

📍
Updated Business Mailing Address May 11, 2017

Registered at 5750 ABBEY DR, APT 2C, LISLE, IL 605322582 (Tel: 3097216705)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as ANTHONY LOPEZ, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Prevention Professional (License #2000026450 in IL)

🟢
Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891221958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: May 11, 2017
Sole Proprietor: Yes

Mailing Address

5750 Abbey Dr, Apt 2c

Lisle, IL 605322582

Phone: 3097216705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.