{
"Npi": {
"NPI": "1235568221",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VTM INSURANCE FINANCIAL SERVICES",
"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": "16W518 HONEYSUCKLE ROSE LN",
"SecondLineMailingAddress": "SUITE #206",
"MailingAddressCityName": "WILLOWBROOK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60527-7409",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-914-0753",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "16W518 HONEYSUCKLE ROSE LN",
"SecondLinePracticeLocationAddress": "SUITE #206",
"PracticeLocationAddressCityName": "WILLOWBROOK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60527-7409",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-914-0753",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/11/2013",
"LastUpdateDate": "11/11/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOSQUERA",
"AuthorizedOfficialFirstName": "VINCENT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FINANCIAL ADVISOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MBA",
"AuthorizedOfficialTelephoneNumber": "312-914-0753",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "347B00000X",
"TaxonomyName": "Bus",
"LicenseNumber": "000626639",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}