Organization Active NPI

Plainfield Area Primary Care Physicians, LLC

  • Family Medicine Physician
  • Plainfield, IL
National Provider Identifier
1699833079
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on May 23, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09932493OtherILBLUE CROSS BLUE SHIELD PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.