NORTHERN ILLINOIS MEDICAL CENTER (NPI# 1770867954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770867954 |
| Entity Type | Organization |
| Organization Name | NORTHERN ILLINOIS MEDICAL CENTER |
| Other Organization Name | CENTEGRA HOME MEDICAL EQUIPMENT |
| Practice Address |
1118 North Main Street Algonquin IL 60102-3482 |
| Mailing Address |
213 Front St. Mchenry IL 60050-5501 |
| Practice Telephone | 8157594444 |
| Mailing Telephone | 8157594444 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | DAVID TOMLINSON (CIO & CFO) |
| Authorized Official Telephone | 8157885831 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN ILLINOIS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Centegra Home Medical Equipment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780989905 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 213 Front St., Mchenry, IL 60050-5501 | 2011-01-19 |
| 1447298450 | Northern Illinois Medical Center | Home Health | 213 Front St, Suite 2, Mchenry, IL 60050-5501 | 2006-06-02 |
| 1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
| 1023497823 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 1118 N Main St, Algonquin, IL 60102-3482 | 2015-05-26 |
| 1497764526 | Northern Illinois Medical Center | Rehabilitation Unit | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2006-08-07 |
| 1982611281 | Northern Illinois Medical Center | Psychiatric Unit | 4201 W Medical Center Dr, Mchenry, IL 60050 | 2006-08-01 |
| Street Address |
1118 NORTH MAIN STREET |
| City | ALGONQUIN |
| State | IL |
| Zip Code | 60102-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
| 1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
| 1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
| 1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
| 1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
| 1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
| Find all providers in zip 60102 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821584574 | Willis Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1363 Essex St, Algonquin, IL 60102-5301 | 2018-07-05 |
| 1356688584 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2537 W Algonquin Rd, Algonquin, IL 60102-9403 | 2013-01-08 |
| 1366608325 | Nissi Corporation | Durable Medical Equipment & Medical Supplies | 782 S Randall Rd, Algonquin, IL 60102-5915 | 2008-07-30 |
| 1699847723 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2401 Harnish Dr, Algonquin, IL 60102-6846 | 2006-11-14 |
| 1104831213 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4001 W Algonquin Rd, Algonquin, IL 60102-9401 | 2006-07-29 |
| 1124045422 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1410 S Randall Rd, Algonquin, IL 60102-5919 | 2006-07-16 |
| 1023053717 | Life Star Medical Supplies | Durable Medical Equipment & Medical Supplies | 2308 Poets Ln, Algonquin, IL 60102-6650 | 2006-06-18 |
| 1043266570 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 107 S Randall Rd, Algonquin, IL 60102 | 2006-05-26 |
| 1740236660 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1501 E Algonquin Rd, Algonquin, IL 60102 | 2006-05-25 |
| 1023497823 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 1118 N Main St, Algonquin, IL 60102-3482 | 2015-05-26 |
| Find all providers in ALGONQUIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.