Jose Manuel Pena
MD | Pediatrics | Male
Jose Manuel Pena, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jose Manuel Pena is
530 Ne Glen Oak Ave, Peoria, Illinois - 61637-0001. He can be contacted on phone at
309-655-2274.
Jose Manuel Pena is a sole proprietor of his business.
NPI number (Unique professional ID) for Jose Manuel Pena is
1770013583 which was assigned by NPPES on 14 Jun, 2017 and it was last updated on 14 Jun, 2017.
Jose Manuel Pena license number is
125.070535 for Pediatrics (208000000X) in Illinois.
Jose Manuel Pena is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jose Manuel Pena basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jose Manuel Pena |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Jose Manuel Pena address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Ne Glen Oak Ave
Peoria, IL, 61637-0001
United States |
|---|
| Phone Number : | 309-655-2274 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770013583 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 14 Jun, 2017 |
|---|
| Last Updated On : | 14 Jun, 2017 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jose Manuel Pena are as mentioned. Primary taxonomy code for Jose Manuel Pena, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 125.070535 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2401 W Alta Rd Apt 602
Peoria, IL, 61615-1287
United States |
|---|
| Phone Number : | 602-999-3249 |
|---|
Business Location:
Patients can refer following map for directions to
Jose Manuel Pena practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.