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EDISON V MENDOZA DELA PENA
NPI 1659030195
Family Medicine in Des Plaines, IL

Active since December 13, 2021
9429 BAY COLONY DR, DES PLAINES, IL 60016(224) 619-0724 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edison V Mendoza Dela Pena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDISON V MENDOZA DELA PENA (NPI 1659030195) is an individual family medicine provider in Des Plaines, Illinois, licensed in Illinois (D41521302250) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1659030195
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDISON V MENDOZA DELA PENA
Location Address9429 BAY COLONY DRDes Plaines, IL 60016-3623
Mailing Address9429 Bay Colony Dr Apt 1sDes Plaines, IL 60016-3623 · (224) 619-0724
Phone(224) 619-0724
Sole ProprietorNo
Enumeration DateDecember 13, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1659030195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · D41521302250
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9429 BAY COLONY DR, Des Plaines, IL 60016
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edison V Dela Pena's NPI number?

The NPI number for Edison V Dela Pena is 1659030195. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Edison V Dela Pena located?

Edison V Dela Pena practices at 9429 Bay Colony Dr, Des Plaines, IL 60016. The listed phone number is (224) 619-0724.

What is Edison V Dela Pena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edison V Dela Pena was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.