CENTEGRA PRIMARY CARE LLC NPI 1902202757

NPI Information

NPI: 1902202757
Provider Name: CENTEGRA PRIMARY CARE, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Other Name: CENTEGRA PHYSICIAN CARE DEL WEBB
Address: 12920 DEL WEBB BLVD
HUNTLEY, IL
ZIP 60142
Phone: (815) 515-2078

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NPI Details

CENTEGRA PRIMARY CARE, LLC is a non pharmacy dispensing site in Huntley, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CENTEGRA PRIMARY CARE, LLC NPI is 1902202757. The provider is registered as an organization entity type.
The provider Other Name Is Centegra Physician Care Del Webb.

The provider's business location address is:

12920 DEL WEBB BLVD
HUNTLEY, IL
ZIP 60142-602
Phone: (815) 515-2078
Fax: (815) 515-2334

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

The enumeration date for this NPI number is 11/6/2014 and was last updated on 11/6/2014.

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
1	332900000X	Non-Pharmacy Dispensing Site				Yes

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

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