Individual
JOSEPH PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6016 N NINA AVE, CHICAGO, IL 60631-2439
(773) 577-5376
Mailing address
9335 LINDER AVE, SKOKIE, IL 60077-1135
(224) 623-2940
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070020515
IL
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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