Active NPI
Plainfield Area Primary Care Physicians, LLC
- Family Medicine Physician
- Plainfield, IL
National Provider Identifier
1699833079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PLAINFIELD AREA PRIMARY CARE PHYSICIANS, LLC
- Practice address
- 23836 W 135TH St
Plainfield, IL 60544-5620 - Phone
- (815) 436-8831
- Fax
- (815) 436-6863
- NPI assigned
- Dec 5, 2006
- 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
- Bruce Corwin, MD
- Title
- Authorized Official
- Phone
- (815) 436-8831
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X |
Addresses
Primary practice location
23836 W 135TH St
Plainfield, IL 60544-5620
Mailing address
15728 S Route 59
Plainfield, IL 60544-2693
Phone (815) 436-8831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932493 | Other | IL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bolingbrook, IL
- NPI 1275641003
-
- Family Medicine Physician
- Planfield, IL
- NPI 1669553863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1699833079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15728 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442693",
"telephone_number": "815-436-8831",
"fax_number": "815-436-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23836 W 135TH ST",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605445620",
"telephone_number": "815-436-8831",
"fax_number": "815-436-6863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAINFIELD AREA PRIMARY CARE PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "CORWIN",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "815-436-8831",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "09932493",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.