Organization Active NPI

Plainfield Healthcare Associates, LLC

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1205082427
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLAINFIELD HEALTHCARE ASSOCIATES, LLC
Practice address
1012 95TH St
Suite #8
Naperville, IL 60564-5041
Phone
(630) 778-9444
Fax
(630) 778-9424
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Ms. Eva Bonilla
Title
Project Manager
Phone
(630) 384-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1012 95TH St
Suite #8
Naperville, IL 60564-5041

Mailing address

2100 Manchester Road
Suite 615 Building a
Wheaton, IL 60187
Phone (630) 384-1256

National Provider Directory

National Provider Directory

Locations

1012 95th St
Ste 8
Naperville, IL 60564
Phone (630) 778-9444

24600 W 127th St
Ste B125
Plainfield, IL 60585
Phone (815) 267-3400

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1205082427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER ROAD",
            "address_2": "SUITE 615 BUILDING A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-384-1256",
            "fax_number": "630-260-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 95TH ST",
            "address_2": "SUITE #8",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-778-9444",
            "fax_number": "630-778-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "630-384-1256",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.