Individual
ASHLEY CENICEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 996-8337
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036155042
IL
207R00000X
Internal Medicine Physician
293556
NY
207RI0200X
Infectious Disease Physician
Primary
036155042
IL
207RI0200X
Infectious Disease Physician
293556
NY
Other
Enumeration date
01/20/2015
Last updated
09/09/2025
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