{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DR LAWRENCE MARCZAK LTD",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "30 N MICHIGAN AVE",
"SecondLineMailingAddress": "SUITE 1229",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60602-3402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-332-0041",
"MailingAddressFaxNumber": "312-332-2324",
"FirstLinePracticeLocationAddress": "30 N MICHIGAN AVE",
"SecondLinePracticeLocationAddress": "SUITE 1229",
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"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-332-0041",
"PracticeLocationAddressFaxNumber": "312-332-2324",
"EnumerationDate": "02/21/2008",
"LastUpdateDate": "06/11/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARCZAK",
"AuthorizedOfficialFirstName": "LAWRENCE",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "312-332-0041",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "016003003",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}