NPI Code Detail JSON Logo

1093280133 NPI number — NANCY L PANZICA LCPC

NPI Number: 1093280133
Health Care Provider/Practitioner: NANCY L PANZICA LCPC

Information about “1093280133” NPI (NANCY L PANZICA LCPC) exists in 1093280133 in HTML format HTML  |  1093280133 in plain Text format TXT  |  1093280133 in PDF (Portable Document Format) PDF  |  1093280133 in an XML format XML  formats.

NPI Number : 1093280133 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093280133",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANZICA",
    "FirstName": "NANCY",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1706 LYNWOOD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLOSSMOOR",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60422-1932",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-275-7195",
    "MailingAddressFaxNumber": "708-478-3036",
    "FirstLinePracticeLocationAddress": "18328 ASHLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOMEWOOD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60430-3403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-820-8250",
    "PracticeLocationAddressFaxNumber": "708-478-3036",
    "EnumerationDate": "10/04/2018",
    "LastUpdateDate": "03/26/2022",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "178013844",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "180014343",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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