DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KRYSTAL PENA

MEDICARE: KRYSTAL PENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1184506305
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL PENA
Provider Business Mailing Address
First Line : 1522 W OAKDALE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2520 W NORTH AVE # 2520A
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5202
Country : US
Telephone Number : 224-273-6557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 07/21/2025

Similar Medicare Providers

1104274109 — DENTAL MAGIC NORTH AVE, INC
Practice Location Address:
2500 W NORTH AVE
CHICAGO, IL
60647-5202
Practice Phone: 773-360-1281
Practice Fax: 773-360-1285
1235581711 — D2 DENTAL OF LANSING, P.C.
Practice Location Address:
2500 W NORTH AVE
CHICAGO, IL
60647-5202
Practice Phone: 773-360-1281
Practice Fax:
1568992733 — DR. KYLE JOSEPH FAIRBANKS DMD
Practice Location Address:
2500 W NORTH AVE
CHICAGO, IL
60647-5202
Practice Phone: 773-360-1281
Practice Fax:
1689167983 — DR. NASIM KHOSHFETRAT DMD
Practice Location Address:
2500 W NORTH AVE
CHICAGO, IL
60647-5202
Practice Phone: 773-360-1281
Practice Fax:
1689264616 — DENTAL 360-BUCKTOWN LLC
Practice Location Address:
2500 W NORTH AVE
CHICAGO, IL
60647-5202
Practice Phone: 773-360-1281
Practice Fax:
1487531778 — HEIDI CHANG PT, DPT
Practice Location Address:
2520 W NORTH AVE
CHICAGO, IL
60647-5202
Practice Phone: 224-273-6557
Practice Fax:

Directions to “ KRYSTAL PENA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.