PRAIRIE TRAIL FAMILY MEDICINE SC
NPI 1003031352
Family Medicine in Warrenville, IL

Active since April 13, 2007
2S661 ANGELINE CT, WARRENVILLE, IL 60555(630) 341-1246(630) 489-9652 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2022, Jul 22, 2021, Dec 22, 2020 and 1 more (4 updates tracked since 2020).

About Prairie Trail Family Medicine Sc NPPES

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

PRAIRIE TRAIL FAMILY MEDICINE SC (NPI 1003031352) is a healthcare organization registered as a family medicine in Warrenville, Illinois and active in the NPI registry since April 2007. The organization lists Pauline N Harding, President, as its authorized official.

NPPES Registry Identity

NPI1003031352
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRAIRIE TRAIL FAMILY MEDICINE SC
Location Address2S661 ANGELINE CTWarrenville, IL 60555-1301
Mailing Address2s661 Angeline CtWarrenville, IL 60555-1301 · (630) 341-1246 · Fax (630) 489-9652
Fax(630) 489-9652
Organization SubpartNo
Authorized OfficialPauline N HardingPresident · (630) 341-1246
Enumeration DateApril 13, 2007
Last NPPES UpdateFebruary 21, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
NPI 1003031352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 042006514
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.
2S661 ANGELINE CT, Warrenville, IL 60555

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

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

Family Medicine
2S661 ANGELINE CT
WARRENVILLE, IL 60555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Trail Family Medicine Sc's NPI number?

The NPI number for Prairie Trail Family Medicine Sc is 1003031352. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Prairie Trail Family Medicine Sc located?

Prairie Trail Family Medicine Sc is located at 2s661 Angeline Ct, Warrenville, IL 60555. The listed phone number is (630) 341-1246.

What is Prairie Trail Family Medicine Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Prairie Trail Family Medicine Sc was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.