Individual
ALEXIS FERNANDO MENA PENAFIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3722 HARLEM AVE, RIVERSIDE, IL 60546-2312
(708) 783-6566
(708) 783-6567
Mailing address
3722 HARLEM AVE, RIVERSIDE, IL 60546-2312
(708) 783-6566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.085557
IL
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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