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Contact Information

SHAE L CENKUS, PA
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHAE L CENKUS · (Female)

NPI Number 1598341273
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/22/2021
Last updated 11/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085009138
  • KY License # PA2841
  • KY License # TC084
Hospital affiliation(s)
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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