Edison V Mendoza Dela Pena

NPI #1659030195 in Des Plaines, Illinois

Provider Information

NPI Number
1659030195
Entity Type
Individual
Name
Edison V Mendoza Dela Pena
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Enumeration Date
Dec 13, 2021
Last Updated
Dec 13, 2021

Practice Location

Address
9429 BAY COLONY DR
ZIP Code
60016-3623
Phone
(224) 619-0724

Specialties & Taxonomy Codes

Specialty
Family Medicine

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