Individual provider · Type 1 NPI
Rodney J. Pena Jr., PMHNP
Psychiatric/Mental Health Nurse Practitioner · Hazel Crest, IL
NPI number
1750989620
Active
Practice location
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Fax (708) 213-0142
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 11231 Distinctive Dr, Orland Park, IL 60467-9458 · (800) 461-9533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.022137 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1750989620
Rodney J. Pena Jr., PMHNP's National Provider Identifier is 1750989620, issued on Oct 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hazel Crest, IL. The record was last updated on Apr 19, 2024.