OrganizationActive
Prairieview Gyn LLC
NPI 1376821025 · Gynecology Physician · Bourbonnais, IL
Provider details
- NPI number
- 1376821025
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Degaulle Haile, Managing Member(815) 935-1315
- License
- 036110330 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3929 Morgan Trl
Bourbonnais, IL 60914-4738
Phone: (815) 935-1315
Street-level locationGet directions
Mailing address
3929 Morgan Trl
Bourbonnais, IL 60914-4738
Registry dates
- Enumerated
- 2011-07-29
- Last updated
- 2011-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.