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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDISON V MENDOZA DELA PENA

Active

EDISON V MENDOZA DELA PENA is a Family Medicine healthcare provider located in DES PLAINES, Illinois. NPI 1659030195 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DES PLAINES, IL

Registration Details

NPI Number
1659030195
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2021 (4.666916778027 yrs)
Last Updated
Dec 13, 2021
License
D41521302250 (IL)

Practice Information

Address
9429 BAY COLONY DR
DES PLAINES, IL, 600163623
Browse IL providers · Browse ZIP 60016
Phone
2246190724
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in DES PLAINES, IL

Name Credential NPI
DR. ARCADIO HILARIO VALENZUELA POMER M.D. 1003810953
DORIA L DEVARE M.D. 1295731230
MATTHEW D ZAWILENSKI M.D. 1497752570
DR. JESUS ANTONIO MANTECA-ELIAS M.D. 1821066879
INDER P SINGH M.D. 1386690139
MR. PETER JURGEN KIEFER MD 1386688158
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.