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1013301431 NPI number — OAK LAWN DENTAL CARE, PC

NPI Number: 1013301431
Health Care Provider/Practitioner: OAK LAWN DENTAL CARE, PC

Information about “1013301431” NPI (OAK LAWN DENTAL CARE, PC) exists in 1013301431 in HTML format HTML  |  1013301431 in plain Text format TXT  |  1013301431 in PDF (Portable Document Format) PDF  |  1013301431 in an XML format XML  formats.

NPI Number : 1013301431 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013301431",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OAK LAWN DENTAL CARE, PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9101 S CICERO AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK LAWN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60453-1804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-425-9101",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9101 S CICERO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-1804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-425-9101",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2015",
    "LastUpdateDate": "03/24/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ALEMIS",
    "AuthorizedOfficialFirstName": "ALEXANDER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "773-978-7801",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "019019849",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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