{
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"FirstLineMailingAddress": "15 S 3RD ST",
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"MailingAddressStateName": "IL",
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"MailingAddressFaxNumber": "630-232-2677",
"FirstLinePracticeLocationAddress": "17 S 3RD ST",
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"EnumerationDate": "02/14/2007",
"LastUpdateDate": "09/15/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIMON",
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"AuthorizedOfficialTelephoneNumber": "630-232-2640",
"Taxonomies": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}