1. Home
  2. Directory
  3. Illinois
  4. Bourbonnais
  5. Family Medicine
  6. NPI Profile

NEPOMUCENO FAMILY PRACTICE LLC
NPI 1083749410
Family Medicine in Bourbonnais, IL

Active since February 23, 2007
475 BROWN BLVD STE 106, BOURBONNAIS, IL 60914(815) 937-8786 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nepomuceno Family Practice Llc NPPES

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

NEPOMUCENO FAMILY PRACTICE LLC (NPI 1083749410) is a healthcare organization registered as a family medicine in Bourbonnais, Illinois and active in the NPI registry since February 2007. The organization lists Reynaldo E Nepomuceno, President, as its authorized official.

NPPES Registry Identity

NPI1083749410
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEPOMUCENO FAMILY PRACTICE LLC
Location Address475 BROWN BLVD STE 106Bourbonnais, IL 60914-2325
Mailing Address475 Brown Blvd Ste 106Bourbonnais, IL 60914-2325 · (815) 937-8786
Phone(815) 937-8786
Organization SubpartNo
Authorized OfficialReynaldo E NepomucenoPresident · (815) 937-8786
Enumeration DateFebruary 23, 2007
Last NPPES UpdateOctober 25, 2010
✔ NPI 1083749410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
475 BROWN BLVD STE 106, Bourbonnais, IL 60914
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified917620IL · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. DAVID EUGENE KRAUSE M.D.
Otolaryngology
475 BROWN BLVD STE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 933-8020
DAVID E KRAUSE MD LTD
Otolaryngology
475 BROWN BLVD STE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 933-8020
PATRICIA JOAN CROIX M.A.
Audiologist-Hearing Aid Fitter
475 BROWN BLVD STE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 933-7855

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 Nepomuceno Family Practice LLC's NPI number?

The NPI number for Nepomuceno Family Practice LLC is 1083749410. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Nepomuceno Family Practice LLC located?

Nepomuceno Family Practice LLC is located at 475 Brown Blvd Ste 106, Bourbonnais, IL 60914. The listed phone number is (815) 937-8786.

What is Nepomuceno Family Practice LLC'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 Nepomuceno Family Practice LLC was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.