Active NPI
Plainfield Healthcare Associates, LLC
- Family Medicine Physician
- Naperville, IL
National Provider Identifier
1205082427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.