HomeNPI Verification

NPI Verification

National Provider Identifier: 1700905205

Centegra Primary Care, LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (10)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Rheumatology

Code: 207RR0500X

Obstetrics & Gynecology

Code: 207V00000X

Pediatrics

Code: 208000000X

Nurse Practitioner

Code: 363L00000X

Nurse Practitioner, Adult Health

Code: 363LA2200X

Nurse Practitioner, Family

Code: 363LF0000X

Nurse Practitioner, Pediatrics

Code: 363LP0200X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

13707 W JACKSON ST

WOODSTOCK, IL 600983188

Phone: 815-337-2890

NPI Enumeration Date

March 28, 2007

NPI Number

1700905205

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry