Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CENTENNIAL MEDICAL MANAGEMENT
Active
Organization
CENTENNIAL MEDICAL MANAGEMENT
Active
Other names
NAH COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GROEPER (CFO)
(773) 292-8200
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8260
(773) 292-5979
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8260
(773) 292-5979
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Enumeration date
01/13/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up