Organization
CENTEGRA PRIMARY CARE, LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up