| Mr Rodney J Pena Jr, PMHNP | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (708) 213-3800 | |
| (708) 213-0142 |
| Full Name | Mr Rodney J Pena Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750989620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.022137 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Benchmark Psychiatric Services, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013118413 PECOS PAC ID: 0648379941 Enrollment ID: O20070627000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rodney J Pena Jr, PMHNP 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Mr Rodney J Pena Jr, PMHNP 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-3800 |
Eziaha R Georgewill, APRN-BC, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave # A, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
Sumar Abushaqra, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Tawakalitu Afolashade Babawale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3710 Village Dr, Hazel Crest, IL 60429 Phone: 773-719-0070 | |
Sharyl L Sadowski, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
Ms. Rachel Cheeks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 | |
Andrea Pawlak, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Naila A O'connell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 |