Organization
CGH MEDICAL CENTER
Active
Parent organization
CGH MEDICAL CENTER
Other names
CGH Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
CGH MEDICAL CENTER
Authorized official
MS. JUDY HENTGES RN, BSN (DIRECTOR)
(815) 622-0836
Entity
Organization
Contact information
Practice address
3010 E. LYNN BLVD, STERLING, IL 61081
(815) 622-0836
(815) 622-9456
Mailing address
3010 E. LYNN BLVD, SUITE B, STERLING, IL 61081
(815) 625-3476
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
093013381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09823789
BLUE CROSS
IL
Enumeration date
06/02/2006
Last updated
01/20/2017
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