Individual
PAMELA PECENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2323
Mailing address
10335 N PORT WASHINGTON RD, 250, MEQUON, WI 53092-5763
(262) 240-9870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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