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PRAIRIEVIEW GYN LLC
NPI 1376821025
Obstetrics & Gynecology - Gynecology in Bourbonnais, IL

Active since July 29, 2011
3929 MORGAN TRL, BOURBONNAIS, IL 60914(815) 935-1315 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairieview Gyn Llc NPPES

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

PRAIRIEVIEW GYN LLC (NPI 1376821025) is a healthcare organization registered as a gynecology in Bourbonnais, Illinois and active in the NPI registry since July 2011. The organization lists Degaulle G Haile, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1376821025
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePRAIRIEVIEW GYN LLC
Location Address3929 MORGAN TRLBourbonnais, IL 60914-4738
Mailing Address3929 Morgan TrlBourbonnais, IL 60914-4738
Phone(815) 935-1315
Organization SubpartNo
Authorized OfficialDegaulle G HaileManaging Member · (815) 935-1315
Enumeration DateJuly 29, 2011
✔ NPI 1376821025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036110330
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
3929 MORGAN TRL, Bourbonnais, IL 60914
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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

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 Prairieview Gyn LLC's NPI number?

The NPI number for Prairieview Gyn LLC is 1376821025. It was assigned to this organization in the NPPES registry on July 29, 2011.

Where is Prairieview Gyn LLC located?

Prairieview Gyn LLC is located at 3929 Morgan Trl, Bourbonnais, IL 60914. The listed phone number is (815) 935-1315.

What is Prairieview Gyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Prairieview Gyn LLC was last updated on July 29, 2011. 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.