Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prairieview GYN LLC

Organization Gynecology Physician · NPI 1376821025

Prairieview GYN LLC is a Gynecology Physician in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3929 Morgan Trl
Bourbonnais, IL 60914-4738
Phone: (815) 935-1315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 036110330 (IL)

Record details

NPI number1376821025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Degaulle Haile — Managing Member · (815) 935-1315
NPI enumeratedJuly 29, 2011
Last updated in NPPESJuly 29, 2011
Mailing address3929 Morgan Trl, Bourbonnais, IL 60914-4738