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1174778047 NPI number — RSC ILLINOIS LLC

NPI Number: 1174778047
Health Care Provider/Practitioner: RSC ILLINOIS LLC

Information about “1174778047” NPI (RSC ILLINOIS LLC) exists in 1174778047 in HTML format HTML  |  1174778047 in plain Text format TXT  |  1174778047 in PDF (Portable Document Format) PDF  |  1174778047 in an XML format XML  formats.

NPI Number : 1174778047 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174778047",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RSC ILLINOIS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "545 VALLEY VIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOLINE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61265-6138",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-762-5560",
    "MailingAddressFaxNumber": "309-762-7351",
    "FirstLinePracticeLocationAddress": "545 VALLEY VIEW DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOLINE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61265-6138",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-762-5560",
    "PracticeLocationAddressFaxNumber": "309-762-7351",
    "EnumerationDate": "11/19/2008",
    "LastUpdateDate": "01/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAILEY",
    "AuthorizedOfficialFirstName": "JONATHAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICER/AO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "203-609-1168",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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