Princeton Prompt Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

248.000409 Issued in IL

Legal business name

PRINCETON PROMPT CARE LLC

Practice address

2128 North Main Street
Princeton, IL 61356

Phone

(815) 875-2273

Fax

(815) 664-3490

NPI assigned

Jun 16, 2011

Last updated

Feb 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Herman Bonucci, MDNPI 1922114677

Title

Medical Director

Phone

(815) 875-2273

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Paul H Bonucci, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Princeton, IL
  • NPI 1922114677
  Authorized official Same address or phone

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1477848521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 NORTH MAIN STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-875-2273",
            "fax_number": "815-664-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 NORTH MAIN STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-875-2273",
            "fax_number": "815-664-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PROMPT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "BONUCCI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-875-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "036100221",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "248.000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princeton Emergency Services, LLC
• Princeton Family Dentistry, LTD
• Princeton Family Physicians, S.C.
• Princeton Pharmacy, Inc
• Princeton Physical Therapy, PC
• Princeton TWP High SCH Dis 500
• Timothy J Puhr, DDS
• Antonio Maria Ramirez, M.D.
• Cynthia Rebholz
• Kolton Reeverts, DPT

• Urgent Care Clinic/Center in Princeton, IL
• Providers in Princeton, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.