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Organization
CENTEGRA HEALTH AND WELLNESS NETWORK
Active
Organization
CENTEGRA HEALTH AND WELLNESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A KEPPLER (DIRECTOR OF CLINICAL INTEGRATION)
(815) 759-8039
Entity
Organization
Contact information
Practice address
4209 W SHAMROCK LN, SUITE B, MCHENRY, IL 60050-8700
(815) 759-8039
(815) 578-0636
Mailing address
4209 W SHAMROCK LN, SUITE B, MCHENRY, IL 60050-8700
(815) 759-8039
(815) 578-0636
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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