OrganizationActive
Prairieview Gyn LLC
NPI 1376821025 · Gynecology Physician · Bourbonnais, IL
Prairieview Gyn LLC is a Gynecology Physician organization in Bourbonnais, IL (NPI 1376821025).
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(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Frequently asked questions
- What is Prairieview Gyn LLC's NPI number?
- Prairieview Gyn LLC's National Provider Identifier (NPI) is 1376821025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairieview Gyn LLC?
- Prairieview Gyn LLC is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Prairieview Gyn LLC located?
- Prairieview Gyn LLC's practice location on file with NPPES is 3929 Morgan Trl, Bourbonnais, IL 60914-4738.
- What is Prairieview Gyn LLC's phone number?
- The practice phone number listed in the NPPES registry for Prairieview Gyn LLC is (815) 935-1315.
- Who is the authorized official for Prairieview Gyn LLC?
- The authorized official listed on Prairieview Gyn LLC's NPPES record is Degaulle Haile, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairieview Gyn LLC's NPI active?
- Yes — Prairieview Gyn LLC's NPI (1376821025) is active in the NPPES registry as of the last update on 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.