Organization
CENTEGRA HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TOMLINSON (CFO)
(815) 788-5831
Entity
Organization
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
Mailing address
385 MILLENNIUM DR, CRYSTAL LAKE, IL 60012-3761
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
164006477
IL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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