Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer A Centore-Lober, PAC

Individual provider Medical Physician Assistant · NPI 1932198322

Jennifer A Centore-Lober, PAC is a Physician Assistant in Chicago, Illinois. Qualified in 1999, 27 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

675 N Saint Clair St Ste 21-100
Chicago, IL 60611-5970
Phone: (312) 695-0990
Fax: (312) 472-5270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001262 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085001262 (IL)

Record details

NPI number1932198322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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