Jose Antonio Penaherrera in New Lenox - Internal Medicine

Jose Antonio Penaherrera - NPI 1073649141

Jose Antonio Penaherrera is a Internal Medicine in New Lenox, Illinois. Jose Antonio Penaherrera practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jose Antonio Penaherrera is 1073649141. The last update date is 2013-08-28.

Jose Antonio Penaherrera's current location address is 1890 Silver Cross Blvd, New Lenox, Illinois. You can contact this provider via phone number 8157274292 and fax number 8157275395. The mailing address for Jose Antonio Penaherrera is 1890 Silver Cross Blvd, New Lenox, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Antonio Penaherrera
Address 1890 Silver Cross Blvd, New Lenox, Illinois
Phone Number 8157274292
Fax Number 8157275395
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1073649141
Provider Enumeration Date 2007-02-25
Last Updated Date 2013-08-28

Provider Mailing Address Detail

Address 1890 Silver Cross Blvd
City New Lenox
State Illinois (IL)
Post Code 604519524
Phone Number 8157274292
Fax Number 8157275395

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36095226
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9928146 IL BC/BS

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FAQs about Jose Antonio Penaherrera

What is the Jose Antonio Penaherrera's unique identification number?

The Jose Antonio Penaherrera has been assigned the NPI (National Provider Identifier) Number 1073649141 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Jose Antonio Penaherrera?

The Jose Antonio Penaherrera is situated at 1890 Silver Cross Blvd, in the city of New Lenox, state of IL, with the zip code 604519524.

What is Jose Antonio Penaherrera's area of expertise and its corresponding taxonomy classification?

The Jose Antonio Penaherrera's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

When was the Jose Antonio Penaherrera's 1073649141 issued?

The Jose Antonio Penaherrera's 1073649141 was issued on 2007-02-25.

As of what date was the information regarding Jose Antonio Penaherrera, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jose Antonio Penaherrera, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-28.

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