Individual provider · Type 1 NPI

Emily Pena, PA-C

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1164901864 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Mailing address

8509 Ardennes Dr
Fishers, IN 46038-4402

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XC0006904 (MD)
Surgical Physician Assistant Primary 363AS0400X085007408 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1164901864

Emily Pena, PA-C's National Provider Identifier is 1164901864, issued on Aug 13, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on May 13, 2022.