Michelle Lopez
Individual provider Active NPI Behavior Technician · Ashkum, IL
NPI 1174489082 · NPPES record last updated Jan 5, 2026
Key facts
- NPI
- 1174489082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 309 E Washington St
Ashkum, IL 60911-7094 - Phone
- (773) 915-3379
- NPI assigned
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | IL | Yes |
Addresses
Primary practice location
309 E Washington St
Ashkum, IL 60911-7094
Mailing address
309 E Washington St
Ashkum, IL 60911-7094
Phone (773) 915-3379
Other providers in Ashkum, IL
- Central Community Unit School Dist #4
- Patricia Gray
- Gina Michelle Grillion
- Sarah Grob
- Kelly Lynn Mann
- Chelsi Owens
All providers in Ashkum, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.