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Individual

MR. RODNEY J PENA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-3800
(708) 213-0142
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.022137
IL

Other

Enumeration date
10/13/2020
Last updated
04/19/2024
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