OrganizationActive
Centennial Medical Group Il LLC
NPI 1831077528 · Interventional Pain Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1831077528
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Lanzkowsky, Owner(702) 839-1203
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4211 N Cicero Ave Ste 400
Chicago, IL 60641-1649
Phone: (702) 839-1203
Street-level locationGet directions
Mailing address
4454 N Decatur Blvd
Las Vegas, NV 89130-5286
Registry dates
- Enumerated
- 2025-08-22
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.