| Prairieview Medicine | |
|
905 North First St Suite C Elburn IL 60119-9115 | |
| (630) 365-4034 | |
| (630) 365-4036 |
| Full Name | Prairieview Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 905 North First St, Elburn, Illinois |
| Authorized Official Name and Position | James Elsner (PRESIDENT) |
| Authorized Official Contact | 6302083992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairieview Medicine 905 North First St Suite C Elburn IL 60119-9115 Ph: (630) 365-4034 | Prairieview Medicine 905 North First St Suite C Elburn IL 60119-9115 Ph: (630) 365-4034 |
| NPI Number | 1073603122 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073603122 | NPI | - | NPPES |
| 04521619 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Elburn Health Associates, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 N First St, Suite A, Elburn, IL 60119 Phone: 630-365-6891 Fax: 630-365-6911 |