CENTEGRA PHYSICIAN CARE, LLC
NPI 1700905205
Family Medicine in Woodstock, IL

Q: What is Centegra Primary Care, LLC's NPI number?

The NPI number for Centegra Primary Care, LLC is 1700905205. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider is doing business as Centegra Physician Care, LLC.

Q: What is Centegra Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 28, 2007

13707 W JACKSON ST, WOODSTOCK, IL 60098(815) 337-2890(815) 338-6297 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Centegra Physician Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTEGRA PHYSICIAN CARE, LLC (NPI 1700905205) is a healthcare organization registered as a family medicine in Woodstock, Illinois and active in the NPI registry since March 2007. The organization lists David Tomlinson, Cio & Cfo, as its authorized official.

NPPES Registry Identity

NPI1700905205

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCENTEGRA PRIMARY CARE, LLC

Location Address13707 W JACKSON STWoodstock, IL 60098-3188

Mailing Address13707 W Jackson St, Centegra Primary Care, LlcWoodstock, IL 60098-0000 · (815) 206-1060 · Fax (815) 338-6297

Phone(815) 337-2890

Fax(815) 338-6297

Organization SubpartNo

Authorized OfficialDavid TomlinsonCio & Cfo · (815) 788-5831

Enumeration DateMarch 28, 2007

Last NPPES UpdateMarch 21, 2014

✔ NPI 1700905205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

13707 W JACKSON ST, Woodstock, IL 60098

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Other Names 1

Doing Business AsCentegra Physician Care, Llc

Other Identifiers 3

Other209584IL · Medicare Group

Medicare ID-Type Unspecified962341IL · Medicare

OtherCC7412IL · Medicare Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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