Organization Active NPI

Pena Clinic PLLC

  • Family Medicine Physician
  • Bensenville, IL
National Provider Identifier
1255249579
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PENA CLINIC PLLC
Practice address
440 S York Rd
Bensenville, IL 60106-2631
Phone
(630) 521-9700
Fax
(630) 521-9797
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Alvaro Enrique Pena, MD
Title
Owner
Phone
(630) 521-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

440 S York Rd
Bensenville, IL 60106-2631

Mailing address

440 S York Rd
Bensenville, IL 60106-2631
Phone (630) 521-9700

Other identifiers 1

IdentifierTypeStateIssuer
036-071431MedicaidIL

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1255249579",
    "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",
            "fax_number": "630-521-9797"
        },
        {
            "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",
            "fax_number": "630-521-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-521-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-071431",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.