Northern Illinois Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1003201 Issued in IL

Legal business name

NORTHERN ILLINOIS MEDICAL CENTER

Doing business as

Centegra Home Health Care

Practice address

213 Front St
Suite 2
McHenry, IL 60050-5501

Phone

(815) 344-6602

NPI assigned

Jun 2, 2006

Organization subpart

Yes

Parent organization

NORTHERN ILLINOIS MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Tomlinson

Title

Cio & Cfo

Phone

(815) 788-5831

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centegra Home Health Care Doing business as

Part of

Centergra Northern Ill

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1447298450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-344-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 FRONT ST",
            "address_2": "SUITE 2",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505501",
            "telephone_number": "815-344-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN ILLINOIS MEDICAL CENTER",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CIO & CFO",
        "authorized_official_telephone_number": "815-788-5831"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1003201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "9840",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centegra Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Thomas Noonan
• Jacquline Nootbaar
• Denise M Nordenberg, APN
• Jadasah Norfleet
• North Central Behavioral Health Systems,Inc.
• Northern Illinois Medical Center
• Northern Illinois Medical Center (Centegra Hospital McHenry)
• Northwest Interventional Specialists
• Northwest Testing LLC
• Notes to Self Counseling

• Home Health Agency in McHenry, IL
• Providers in McHenry, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.