Individual
JENNIFER A CENTORE-LOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 472-5270
Mailing address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611-5970
(312) 695-0990
(312) 472-5270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001262
IL
363AM0700X
Medical Physician Assistant
085001262
IL
Other
Enumeration date
10/18/2005
Last updated
08/27/2025
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