{
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"NamePrefix": null,
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"FirstLineMailingAddress": "9402 BENNETT AVE",
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"MailingAddressPostalCode": "60203-1201",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-328-8510",
"MailingAddressFaxNumber": "847-328-8540",
"FirstLinePracticeLocationAddress": "1040 WESLEY AVE",
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"PracticeLocationAddressFaxNumber": "847-328-8540",
"EnumerationDate": "03/05/2009",
"LastUpdateDate": "03/05/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVIS",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-328-8510",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}