Alvaro Pena MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALVARO PENA MD

Practice address

440 S York Rd
Bensenville, IL 60106-2631

Phone

(630) 521-9700

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alvaro Pena, M.D.NPI 1447220959

Title

Owner

Phone

(630) 521-9700

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alvaro Enrique Pena, M.D.

  • Family Medicine Physician
  • Bensenville, IL
  • NPI 1447220959
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1205287398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062631",
            "telephone_number": "630-521-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S YORK RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062631",
            "telephone_number": "630-521-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARO PENA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-521-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071431",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Khadijah Ali
• Rabab Ali
• Alm International Inc
• American Drug Stores LLC (Osco Drug #3495)
• Carolyn Jean Anderson
• Vanessa Arriaza
• Erika Sofia Arroyo
• Athletico, LTD. (Athletico Physical Therapy)

• Primary Care Clinic/Center in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.