NPI Code Detail JSON Logo

1184967614 NPI number — APM SURGICAL GROUP, LTD

NPI Number: 1184967614
Health Care Provider/Practitioner: APM SURGICAL GROUP, LTD

Information about “1184967614” NPI (APM SURGICAL GROUP, LTD) exists in 1184967614 in HTML format HTML  |  1184967614 in plain Text format TXT  |  1184967614 in PDF (Portable Document Format) PDF  |  1184967614 in an XML format XML  formats.

NPI Number : 1184967614 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184967614",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "APM SURGICAL GROUP, LTD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2937 W 63RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60629-2753",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-309-0141",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2937 W 63RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60629-2753",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-309-0141",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/03/2013",
    "LastUpdateDate": "04/03/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROSENTHAL",
    "AuthorizedOfficialFirstName": "RYAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "773-309-0141",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": "042620100",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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