Alex Pena Garcia, DO
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1295586337
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1295586337
- Entity type
- Individual (NPI-1)
- Name
- Alex Pena Garcia
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2024
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 125084127 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4600 N Ravenswood AveChicago, IL 60640-4510
Phone 773-561-7500 · Fax 773-561-7612
Mailing address
4600 N Ravenswood AveChicago, IL 60640-4510
Phone 773-561-7500 · Fax 773-561-7612
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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