Individual provider Active NPI

Roberto Lopez Jr., D.C.

  • Chiropractor
  • Bedford Park, IL
National Provider Identifier
1265797385
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012211 Issued in IL
Practice address
7456 S State Rd Ste 204
Bedford Park, IL 60638-6625
Phone
(773) 376-1162
Fax
(773) 376-1162
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012211 IL Primary

Addresses

Primary practice location

7456 S State Rd Ste 204
Bedford Park, IL 60638-6625

Mailing address

7456 S State Rd Ste 204
Bedford Park, IL 60638-6625
Phone (773) 962-7892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000404 IL Practitioner - Chiropractic 6002067436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7456 S State Rd
Suite 204
Bedford Park, IL 60638-6623
Phone (773) 376-1162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lopez Family Chiropractic SC Chiropractor CurrentSince Jan 20, 2016 Accepting new patients

Locations

7456 S State Rd
Ste 204
Bedford Park, IL 60638
Phone (773) 376-1162

4195 S Archer Ave
Chicago, IL 60632
Phone (773) 283-3131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1265797385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD STE 204",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386625",
            "telephone_number": "773-962-7892",
            "fax_number": "773-376-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD STE 204",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386625",
            "telephone_number": "773-376-1162",
            "fax_number": "773-376-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.