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1063687978 NPI number — ALEXIS NICOLE BOND M.D.

NPI Number: 1063687978
Health Care Provider/Practitioner: ALEXIS NICOLE BOND M.D.

Information about “1063687978” NPI (ALEXIS NICOLE BOND M.D.) exists in 1063687978 in HTML format HTML  |  1063687978 in plain Text format TXT  |  1063687978 in PDF (Portable Document Format) PDF  |  1063687978 in an XML format XML  formats.

NPI Number : 1063687978 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063687978",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOND",
    "FirstName": "ALEXIS",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WEISS",
    "OtherFirstName": "ALEXIS",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3335 N ARLINGTON HEIGHTS RD STE C&D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON HEIGHTS",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60004-1573",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-788-8300",
    "MailingAddressFaxNumber": "847-788-8306",
    "FirstLinePracticeLocationAddress": "3335 N ARLINGTON HEIGHTS RD STE C&D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON HEIGHTS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60004-1573",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-788-8300",
    "PracticeLocationAddressFaxNumber": "847-788-8306",
    "EnumerationDate": "04/23/2008",
    "LastUpdateDate": "12/10/2021",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "036127981",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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