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1265842736 NPI number — CODY JOHN RALL M.D.

NPI Number: 1265842736
Health Care Provider/Practitioner: CODY JOHN RALL M.D.

Information about “1265842736” NPI (CODY JOHN RALL M.D.) exists in 1265842736 in HTML format HTML  |  1265842736 in plain Text format TXT  |  1265842736 in PDF (Portable Document Format) PDF  |  1265842736 in an XML format XML  formats.

NPI Number : 1265842736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265842736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RALL",
    "FirstName": "CODY",
    "MiddleName": "JOHN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RALL",
    "OtherFirstName": "CODY",
    "OtherMiddleName": "JOHN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3001 GREEN BAY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60064-3048",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-688-1900",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3001 GREEN BAY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60064-3048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-688-1900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/05/2014",
    "LastUpdateDate": "02/17/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "0101257950",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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