Organization
ALVARO PENA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO PENA M.D. (OWNER)
(630) 521-9700
Entity
Organization
Contact information
Practice address
440 S YORK RD, BENSENVILLE, IL 60106-2631
(630) 521-9700
Mailing address
440 S YORK RD, BENSENVILLE, IL 60106-2631
(630) 521-9700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071431
—
IL
Enumeration date
06/29/2016
Last updated
06/29/2016
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