{
"Npi": {
"NPI": "1134046188",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHACON",
"FirstName": "ANAHI",
"MiddleName": null,
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4550 W 103RD ST STE 203",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAK LAWN",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60453-4868",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-581-4357",
"MailingAddressFaxNumber": "773-498-7186",
"FirstLinePracticeLocationAddress": "4550 W 103RD ST STE 203",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAK LAWN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60453-4868",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "773-581-4357",
"PracticeLocationAddressFaxNumber": "773-498-7186",
"EnumerationDate": "07/01/2026",
"LastUpdateDate": "07/01/2026",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "150111043",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}