Sandra Marie Pena, MD | |
932 Lake St Ste 300, Oak Park, IL 60301-1204 | |
(331) 221-1700 | |
(331) 221-2729 |
Full Name | Sandra Marie Pena |
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Gender | Female |
Speciality | Family Medicine |
Location | 932 Lake St Ste 300, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932563996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.150456 (Illinois) | Primary |
Entity Name | Edward Health Ventures |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Correa Medical Group S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275670192 PECOS PAC ID: 8426150699 Enrollment ID: O20070220000110 |
Mailing Address | Practice Location Address |
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Sandra Marie Pena, MD 932 Lake St Ste 300, Oak Park, IL 60301-1204 Ph: (331) 221-1700 | Sandra Marie Pena, MD 932 Lake St Ste 300, Oak Park, IL 60301-1204 Ph: (331) 221-1700 |
Allison Byrne, Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301 Phone: 708-524-8600 | |
Dr. Patrick Carbon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 S Maple Ave, Suite 2100, Oak Park, IL 60304 Phone: 708-660-2240 Fax: 708-660-2243 | |
Dr. Ingrid Y Liu, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 S Oak Park Ave Ste B, Oak Park, IL 60304 Phone: 708-386-3080 Fax: 708-386-3084 | |
Dr. Kathryn Vanbuskirk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Lake St Ste 301, Oak Park, IL 60301 Phone: 708-524-8600 | |
Dr. Judith Opena Disterhoft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Erie Ct, Oak Park, IL 60302 Phone: 708-383-6200 | |
Connie D Chappel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 N Harlem Ave, Suite 309, Oak Park, IL 60302 Phone: 708-386-4411 | |
Kenneth Morris Blair, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Erie Ct, Suite 6160, Oak Park, IL 60302 Phone: 708-763-1490 Fax: 708-763-7232 |