OrganizationActive
Centegra Primary Care, LLC
NPI 1902202757 · Non-Pharmacy Dispensing Site · Huntley, IL
Provider details
- NPI number
- 1902202757
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Centegra Primary Care, LLC
- Organization subpart
- Yes
- Authorized official
- David Tomlinson, Evp, Cfo & Cio(815) 788-5831
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12920 Del Webb Blvd
Huntley, IL 60142-7602
Phone: (815) 515-2078
Fax: (815) 515-2334
Street-level locationGet directions
Mailing address
12920 Del Webb Blvd
Huntley, IL 60142-7602
Other names (DBA / former)
- Other name
- Centegra Physician Care Del Webb
Registry dates
- Enumerated
- 2014-11-06
- Last updated
- 2014-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.