{
"Npi": {
"NPI": "1295539575",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WEESE",
"FirstName": "LOREN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1333 BURR RIDGE PKWY STE 200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURR RIDGE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60527-0833",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-832-1775",
"MailingAddressFaxNumber": "630-832-3078",
"FirstLinePracticeLocationAddress": "545 BELMONT LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAROL STREAM",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60188-2467",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-523-8972",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/03/2025",
"LastUpdateDate": "04/03/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "209031987",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}