Obstetrics & Gynecology, Gynecology
PRAIRIEVIEW GYN LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1376821025 · enumerated 2011-07-29 · record updated 2011-07-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. DEGAULLE HAILE, Managing Member · (815) 935-1315
Addresses and phones
- Mailing address 3929 MORGAN TRL, BOURBONNAIS, IL, 60914-4738 Google Maps Apple Maps OpenStreetMap
- Practice location 3929 MORGAN TRL, BOURBONNAIS, IL, 60914-4738 (815) 935-1315 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology, Gynecology 207VG0400X · Primary · License 036110330 IL
In this directory
IL Kankakee County Bourbonnais Obstetrics & Gynecology, Gynecology
Locations and evidence
-
Practice location
BOURBONNAIS, IL, 609144738
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.