Pena, Jose Manuel
Pena, Jose Manuel is an sole proprietor health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pena, Jose Manuel can be contacted via phone (309) 655-2274.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 655-2274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.070535 | Illinois |
Profile Details
| NPI number | 1770013583 |
|---|---|
| LBN Legal business name | Pena, Jose Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Jun 14th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Neese, Allen Lynn
6339 N Big Hollow Rd , Peoria IL 61615-2908 -
Willemsen-Reid, Marion
2338 W Van Winkle Way Ste 2200 , Peoria IL 61615 -
Mclauchlan, Heather
Dept Of Pediatrics 320 E Armstrong, Peoria IL 61603 -
Lapke, Jalayne M
320 E Armstrong , Peoria IL 61637-0001 -
Kulikowska, Agnieszka
420 Ne Glen Oak Ave Suite 301, Peoria IL 61603-3105 -
Petrak, Channing
Dept Of Pediatrics 320 E Armstrong, Peoria IL 61603 -
Christison, Amy
7801 N Knoxville Ave , Peoria IL 61614-2076 -
Oliphant, Christy A.
5101 N Executive Dr , Peoria IL 61614-4868