Edison V Mendoza Dela Pena
Edison V Mendoza Dela Pena is a Family Medicine Physician in Des Plaines, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
9429 Bay Colony DrDes Plaines, IL 60016-3623
Phone: (224) 619-0724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D41521302250 (IL) |
|---|
Record details
| NPI number | 1659030195 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 13, 2021 |
| Last updated in NPPES | December 13, 2021 |
| Certification date | October 15, 2021 |
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