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Organization

NORTHERN ILLINOIS MEDICAL CENTER

Active
Parent organization
NORTHERN ILLINOIS MEDICAL CENTER
Other names
Centegra Home Medical Equipment
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHERN ILLINOIS MEDICAL CENTER
Authorized official
DAVID TOMLINSON (CIO & CFO)
(815) 788-5831
Entity
Organization

Contact information

Practice address
213 FRONT ST., MCHENRY, IL 60050-5501
(815) 759-4444
Mailing address
213 FRONT ST., MCHENRY, IL 60050-5501
(815) 759-4444

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/19/2011
Last updated
03/21/2014
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