CENTEGRA PRIMARY CARE LLC NPI 1700905205

NPI Information

  • NPI: 1700905205
  • Provider Name: CENTEGRA PRIMARY CARE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CENTEGRA PHYSICIAN CARE, LLC
  • Address: 13707 W JACKSON ST
    WOODSTOCK, IL
    ZIP 60098
  • Phone: (815) 337-2890

Map and Directions

Get Directions

NPI Details

CENTEGRA PRIMARY CARE, LLC is a family medicine in Woodstock, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTEGRA PRIMARY CARE, LLC NPI is 1700905205. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centegra Physician Care, Llc.

The provider's business location address is:

13707 W JACKSON ST
WOODSTOCK, IL
ZIP 60098-188
Phone: (815) 337-2890
Fax: (815) 338-6297

The provider's authorized official is David Tomlinson .
The authorized official title is Cio & Cfo and has the following contact phone number (815) 788-5831.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RR0500XInternal MedicineRheumatologyNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6363L00000XNurse PractitionerNo
7363LA2200XNurse PractitionerAdult HealthNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0200XNurse PractitionerPediatricsNo
10207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209584OTHERILLINOISMEDICARE GROUP
2962341MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
3CC7412OTHERILLINOISMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI