{
"Npi": {
"NPI": "1053632331",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GONZALES-CHUA",
"FirstName": "JOSEPHINE",
"MiddleName": "L.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1790 NATIONS DR",
"SecondLineMailingAddress": "SUITE 107",
"MailingAddressCityName": "GURNEE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60031-9164",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "224-548-8114",
"MailingAddressFaxNumber": "224-944-0236",
"FirstLinePracticeLocationAddress": "1790 NATIONS DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 107",
"PracticeLocationAddressCityName": "GURNEE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60031-9175",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "224-548-8114",
"PracticeLocationAddressFaxNumber": "224-494-4023",
"EnumerationDate": "06/21/2010",
"LastUpdateDate": "09/13/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2251X0800X",
"TaxonomyName": "Orthopedic Physical Therapist",
"LicenseNumber": "070006532",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}