Organization
CENTENNIAL MEDICAL GROUP IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LANZKOWSKY MD (OWNER)
(702) 839-1203
Entity
Organization
Contact information
Practice address
4211 N CICERO AVE STE 400, CHICAGO, IL 60641-1649
(702) 839-1203
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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