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Prairieview Gyn Llc
Gynecology Physician in Bourbonnais, Illinois
NPI 1376821025

Prairieview Gyn Llc is a Gynecology Physician based in Bourbonnais, IL and is specialized in Gynecology. Prairieview Gyn Llc practices in Bourbonnais, IL. The NPI Number for Prairieview Gyn Llc is 1376821025 and holds a License No. 036110330 (Illinois).

The current practice location address for Prairieview Gyn Llc is 3929 Morgan Trl, Bourbonnais, IL and can be reached out via phone at 815-935-1315.

Location: 3929 Morgan Trl, Bourbonnais, IL, 60914-4738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376821025
Provider Name
Prairieview Gyn Llc
Credential
Provider Entity Type
Organization
Address
3929 Morgan Trl, Bourbonnais, IL, 60914-4738
Phone Number
815-935-1315
Fax Number
Provider Enumeration Date
07/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3929 Morgan Trl
City
Bourbonnais
State
Illinois
Zip
60914-4738
Phone Number
815-935-1315
Fax Number
person
Provider Business Mailing Address Details
Address
3929 Morgan Trl
City
Bourbonnais
State
Illinois
Zip
60914-4738
Phone Number
815-935-1315
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
036110330 (Illinois)
Definition
Definition to come...
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