{
"Npi": {
"NPI": "1154184133",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRENNAN",
"FirstName": "CAROLINE",
"MiddleName": "ROSE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "AUD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BRENNAN",
"OtherFirstName": "CALLIE",
"OtherMiddleName": "ROSE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "AUD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2727 W THOMAS ST APT 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60622-6118",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-624-1630",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "267 E WESTMINSTER",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE FOREST",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60045-1853",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-295-1185",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/02/2024",
"LastUpdateDate": "02/02/2024",
"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": "231H00000X",
"TaxonomyName": "Audiologist",
"LicenseNumber": "147.001968",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}