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1215282926 NPI number — CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

NPI Number: 1215282926
Health Care Provider/Practitioner: CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

Information about “1215282926” NPI (CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO) exists in 1215282926 in HTML format HTML  |  1215282926 in plain Text format TXT  |  1215282926 in PDF (Portable Document Format) PDF  |  1215282926 in an XML format XML  formats.

NPI Number : 1215282926 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215282926",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
    "ParentOrgTIN": null,
    "OrgName": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
    "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": "721 N LASALLE ST",
    "SecondLineMailingAddress": "5TH FLOOR",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-948-7412",
    "MailingAddressFaxNumber": "312-640-1587",
    "FirstLinePracticeLocationAddress": "721 N LASALLE ST",
    "SecondLinePracticeLocationAddress": "5TH FLOOR",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60610",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-948-7412",
    "PracticeLocationAddressFaxNumber": "312-640-1587",
    "EnumerationDate": "07/18/2012",
    "LastUpdateDate": "08/02/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "05/12/2023",
    "NPIReactivationDate": "08/02/2023",
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KOEPPE",
    "AuthorizedOfficialFirstName": "KRISTEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLING MANAGER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "773-630-4690",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251V00000X",
          "TaxonomyName": "Voluntary or Charitable Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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