PRAIRIEVIEW GYN LLC


Address: 3929 Morgan Trl, Bourbonnais, IL 60914-4738
Phone: 8159351315

PRAIRIEVIEW GYN LLC (NPI# 1376821025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376821025
Entity Type Organization
Organization Name PRAIRIEVIEW GYN LLC
Practice Address 3929 Morgan Trl
Bourbonnais
IL 60914-4738
Practice Telephone 8159351315
Enumeration Date 2011-07-29
Last Update Date 2011-07-29
Authorized Official Name DR. DEGAULLE G HAILE (MANAGING MEMBER)
Authorized Official Telephone 8159351315
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
036110330 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 3929 MORGAN TRL
City BOURBONNAIS
State IL
Zip Code 60914-4738

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648023 Jacob Daniel Ledesma Physical Therapist 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 2020-10-30
1467069823 Alicia Nicole Kendra Nurse Practitioner Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 2020-09-29
1043860877 Victor Manuel Vazquez Cervantes Pharmacist 2080 No, Il-50, Bourbonnais, IL 60914 2019-09-13
1740843267 Panoptic Physical Therapy LLC Physical Medicine & Rehabilitation 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 2019-04-19
1770074577 Colin P Koerner Physical Therapist 215 N Convent St Ste 6, Bourbonnais, IL 60914 2018-05-29
1306337340 Megan Hoskins Behavior Technician 3187 N 2420 W Rd., Bourbonnais, IL 60914 2018-05-25
1932600459 Thomas H George Dds PC Clinic/Center 14 Briarcliff Professional Center, Bourbonnais, IL 60914 2018-02-21
1780193904 Kathleen M Saindon II Speech-Language Pathologist 1021 Deer Trail, Bourbonnais, IL 60914 2017-09-20
1457870206 Janet Mary Notton Speech-Language Pathologist 920 W Margaret Lane, Bourbonnais, IL 60914 2017-09-13
1134646375 Sagar Batish Student in an Organized Health Care Education/Training Program 1096 Country Lane, Bourbonnais, IL 60914 2017-08-28
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477167112 Omnidoc Health Inc Obstetrics & Gynecology 351 Greenleaf St Ste E, Park City, IL 60085-5701 2020-09-01
1396142857 Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc Obstetrics & Gynecology 1351 W Belmont Ave, Chicago, IL 60657-7195 2014-11-28
1902171325 Womens Health Institute of Illinois Ltd Obstetrics & Gynecology 10762 W 167th St, Orland Park, IL 60467-5434 2012-03-19
1609148303 Archimedes Sison Diamante Obstetrics & Gynecology 949 N Euclid Ave, Oak Park, IL 60302-1319 2012-01-27
1932493236 Integrative Medical Options LLC Obstetrics & Gynecology 305 N. 2nd St, St. Charles, IL 60174 2011-06-03
1477715142 Michel Medical Assoc., S.c. Obstetrics & Gynecology 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 2008-06-25
1477727550 All Women's Medical Center Obstetrics & Gynecology 3140 W Irving Prk. Rd, Chicago, IL 60618 2008-04-18
1053581371 S L Fuentes Md D M Milanes Md Sc Obstetrics & Gynecology 107 Center St, Grayslake, IL 60030-1532 2008-03-03
1477731784 Marianna Vardaka Md Inc Obstetrics & Gynecology 1087 Solutions Ctr, Chicago, IL 60677-1000 2008-02-08
1578747648 Progressivecare for Women Obstetrics & Gynecology 676 N Saint Clair, 1800, Chicago, IL 60611 2007-12-24
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Competitor

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City BOURBONNAIS
Zip Code 60914

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Dataset Information

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.

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