Individual
NICOLAS NOEL CENIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(231) 758-7417
Mailing address
20 N ABERDEEN ST APT 201, CHICAGO, IL 60607-3042
(231) 758-7417
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125085990
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/11/2024
Last updated
10/23/2025
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