Search › Illinois › 207Q00000X
Edison V Dela Pena
NPI 1659030195 · on the registry since 2021
Practice
- Address
- 9429 Bay Colony Dr
Des Plaines, IL 60016 - Phone
- (224) 619-0724
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois