# NORTHERN ILLINOIS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHERN ILLINOIS MEDICAL CENTER
- **Other names:** Centegra Home Health Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447298450
- **Legal business name:** NORTHERN ILLINOIS MEDICAL CENTER
- **Authorized official:** DAVID TOMLINSON (CIO & CFO)
- **Authorized official phone:** (815) 788-5831

## Contact information

- **Practice address:** 213 FRONT ST, SUITE 2, MCHENRY, IL 60050-5501
- **Practice address phone:** (815) 344-6602
- **Mailing address:** 4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
- **Mailing address phone:** (815) 344-6602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1003201 | IL | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 03/21/2014