Organization · Type 2 NPI

Northern Illinois Medical Center

Durable Medical Equipment & Medical Supplies · Mchenry, IL

NPI number 1780989905 Active

Practice location

213 Front St.
Mchenry, IL 60050-5501

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

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.

Other durable medical equipment & medical supplies providers in Mchenry

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NPI record

NPI: 1780989905
Entity type: Organization (Type 2)
Issued: Jan 19, 2011
Last updated: Mar 21, 2014
Status: Active
Subpart: Yes of Northern Illinois Medical Center

Other names

<unavail>
Centegra Home Medical Equipment · other name

Authorized official

David Tomlinson
CIO & CFO
(815) 788-5831

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780989905

Northern Illinois Medical Center's National Provider Identifier is 1780989905, issued on Jan 19, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Mchenry, IL. The record was last updated on Mar 21, 2014.