Individual
LISA NICOLE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
440 S YORK RD, BENSENVILLE, IL 60106-2631
(630) 521-9700
(630) 521-9797
Mailing address
440 S YORK RD, BENSENVILLE, IL 60106-2631
(630) 521-9700
(630) 521-9797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018064
IL
Other
Enumeration date
09/12/2018
Last updated
11/01/2018
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