Organization · Type 2 NPI
Prairieview Gyn LLC
Gynecology Physician · Bourbonnais, IL
NPI number
1376821025
Active
Practice location
3929 Morgan Trl
Bourbonnais, IL 60914-4738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 036110330 (IL) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1376821025
Prairieview Gyn LLC's National Provider Identifier is 1376821025, issued on Jul 29, 2011. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Bourbonnais, IL. The record was last updated on Jul 29, 2011.