Individual
NINA MARIA CENSOPLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST STE 3192H, OAK LAWN, IL 60453-2600
(708) 684-5685
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3174
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021950
MI
208000000X
Pediatrics Physician
5101021950
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036-130482
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
09/19/2022
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