Individual
PATRICIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 VAN BUREN ST APT 1, OAK PARK, IL 60304-1360
(773) 562-5836
Mailing address
642 VAN BUREN ST APT 1, OAK PARK, IL 60304-1360
(773) 562-5836
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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