Centegra Health System

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

164006477 Issued in IL

Legal business name

CENTEGRA HEALTH SYSTEM

Practice address

4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437

Phone

(815) 759-8070

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

David Tomlinson

Title

Cfo

Phone

(815) 788-5831

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1497136071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MILLENNIUM DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A200",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508437",
            "telephone_number": "815-759-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEGRA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-788-5831"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "164006477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Rhiannon Cecille
• Eleonora C Cekova, M.D.
• Nilubol Cencula, RPH
• Centegra Clinical Laboratories, LLC
• Centegra Health and Wellness Network
• Centegra Primary Care LLC
• Center for Therapeutic Services & Psychodiagnostics
• James Cerbes
• Juli Chaffee, MSW LSW
• Meghan Lee Chamberlain

• General Acute Care Hospital in McHenry, IL
• Providers in McHenry, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.