Organization
CENTEGRA PRIMARY CARE, LLC
Active
Parent organization
CENTEGRA PRIMARY CARE, LLC
Other names
Centegra Physician Care Del Webb
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTEGRA PRIMARY CARE, LLC
Authorized official
DAVID TOMLINSON (EVP, CFO & CIO)
(815) 788-5831
Entity
Organization
Contact information
Practice address
12920 DEL WEBB BLVD, HUNTLEY, IL 60142-7602
(815) 515-2078
(815) 515-2334
Mailing address
12920 DEL WEBB BLVD, HUNTLEY, IL 60142-7602
(815) 515-2078
(815) 515-2334
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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