Organization
PRAIRIEVIEW GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEGAULLE G HAILE (MANAGING MEMBER)
(815) 935-1315
Entity
Organization
Contact information
Practice address
3929 MORGAN TRL, BOURBONNAIS, IL 60914-4738
(815) 935-1315
Mailing address
3929 MORGAN TRL, BOURBONNAIS, IL 60914-4738
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036110330
IL
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us