SearchIllinois1041C0700X

Jacqueline Centeno

NPI 1407772080 · on the registry since 2026 · sole proprietor

Practice

Address
4417 W Diversey Ave
Chicago, IL 60639
Phone
(773) 932-5723
Clinicians at this address
12

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Sex
Female
Record last updated
2026-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois