EMILY PENA

OAK LAWN, IL
NPI1164901864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085007408)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: MD  C0006904)
Enumeration Date2018-08-13
Last Update Date2022-05-13
Business Address
EMILY PENA PA-C
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5580
Mailing Address
EMILY PENA PA-C
8509 ARDENNES DR
FISHERS, IN 46038-4402
Phone number: 317-366-3662