Individual
YANESI PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5461 W LAKE ST, CHICAGO, IL 60644-2343
(773) 378-3347
Mailing address
5461 W LAKE ST, CHICAGO, IL 60644-2343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.012033
IL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
07/23/2026
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