| Plainfield Area Primary Care Physicians, Llc | |
|
23836 W 135th St Plainfield IL 60544-5620 | |
| (815) 436-8831 | |
| (815) 436-6863 |
| Full Name | Plainfield Area Primary Care Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 23836 W 135th St, Plainfield, Illinois |
| Authorized Official Name and Position | Bruce Corwin (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8154368831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plainfield Area Primary Care Physicians, Llc 15728 S Route 59 Plainfield IL 60544-2693 Ph: (815) 436-8831 | Plainfield Area Primary Care Physicians, Llc 23836 W 135th St Plainfield IL 60544-5620 Ph: (815) 436-8831 |
| NPI Number | 1699833079 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699833079 | NPI | - | NPPES |
| 09932493 | Other | IL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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Corwin Medical Care Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15728 S Route 59, Plainfield, IL 60544 Phone: 815-436-8831 Fax: 815-436-6863 | |
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