Individual
MRS. RACHELLE CAMAYA CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 226-7014
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.138511
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2009
Last updated
08/04/2023
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