NPIMap

Organization Active NPI

Valley Healthcare Associates, S.C

Doing business as Prairieview Medicine

  • Internal Medicine Physician
  • Elburn, IL
National Provider Identifier
1073603122
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALLEY HEALTHCARE ASSOCIATES, S.C
Doing business as
Prairieview Medicine
Practice address
905 North First St
Suite C
Elburn, IL 60119-9115
Phone
(630) 365-4034
Fax
(630) 365-4036
NPI assigned
Oct 12, 2006
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Elsner
Title
President
Phone
(630) 208-3992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

905 North First St
Suite C
Elburn, IL 60119-9115

Mailing address

905 North First St
Suite C
Elburn, IL 60119-9115
Phone (630) 365-4034

Other identifiers 1

IdentifierTypeStateIssuer
04521619OtherILBCBS

Other names 1

  • Prairieview Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1999 W Galena Blvd
Aurora, IL 60506
Phone (630) 208-7388

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1073603122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NORTH FIRST ST",
            "address_2": "SUITE C",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199115",
            "telephone_number": "630-365-4034",
            "fax_number": "630-365-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NORTH FIRST ST",
            "address_2": "SUITE C",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199115",
            "telephone_number": "630-365-4034",
            "fax_number": "630-365-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE ASSOCIATES, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "ELSNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-208-3992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04521619",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairieview Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.