Centegra Primary Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012345 Issued in IL

Legal business name

CENTEGRA PRIMARY CARE LLC

Practice address

2507 North Richmond Road
McHenry, IL 60050

Phone

(815) 363-2350

Fax

(815) 344-6473

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. James Adamson

Title

Director, Risk/Regulatory

Phone

(815) 759-4259

Specialties & licenses 1

Addresses

Tax ID family

Centegra Primary Care L2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centegra Primary Care, LLC

  • Non-Pharmacy Dispensing Site
  • Huntley, IL
  • NPI 1902202757
  NPD tax ID

Locations

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1962832873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DRIVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 NORTH RICHMOND ROAD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-363-2350",
            "fax_number": "815-344-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEGRA PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR, RISK/REGULATORY",
        "authorized_official_telephone_number": "815-759-4259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleonora C Cekova, M.D.
• Nilubol Cencula, RPH
• Centegra Clinical Laboratories, LLC
• Centegra Health and Wellness Network
• Centegra Health System
• Center for Therapeutic Services & Psychodiagnostics
• James Cerbes
• Juli Chaffee, MSW LSW
• Meghan Lee Chamberlain
• Christopher Kar Hoi Chan, MD

• Chiropractor in McHenry, IL
• Providers in McHenry, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.