Individual
MELISSA M. PENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
1770 1ST ST, SUITE 703, HIGHLAND PARK, IL 60035-3200
(847) 433-1539
(847) 433-1552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
08/10/2005
Last updated
11/30/2007
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