Individual
ALEX PENA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Mailing address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125084127
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2024
Last updated
06/18/2024
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