{
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"FirstLineMailingAddress": "PO BOX 713260",
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"MailingAddressCityName": "CHICAGO",
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"FirstLinePracticeLocationAddress": "2101 S ARLINGTON HEIGHTS RD STE 150",
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"PracticeLocationAddressCityName": "ARLINGTON HEIGHTS",
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"PracticeLocationAddressTelephoneNumber": "847-439-4343",
"PracticeLocationAddressFaxNumber": "847-439-4510",
"EnumerationDate": "02/08/2018",
"LastUpdateDate": "07/08/2024",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Nurse Practitioner",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}