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Organization

CENTEGRA PRIMARY CARE LLC

Active
Other names
CENTEGRA PHYSICIAN CARE MCHENRY COUNTY ORTHOPEDIC
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID TOMLINSON (CIO & CFO)
(815) 788-5831
Entity
Organization

Contact information

Practice address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(815) 356-5200
(815) 356-5262
Mailing address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(815) 356-5200
(815) 356-5262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/04/2016
Last updated
05/04/2017
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