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1316283575 NPI number — FRANK JOSEPH SCHWENDEMAN JR. OD

NPI Number: 1316283575
Health Care Provider/Practitioner: FRANK JOSEPH SCHWENDEMAN JR. OD

Information about “1316283575” NPI (FRANK JOSEPH SCHWENDEMAN JR. OD) exists in 1316283575 in HTML format HTML  |  1316283575 in plain Text format TXT  |  1316283575 in PDF (Portable Document Format) PDF  |  1316283575 in an XML format XML  formats.

NPI Number : 1316283575 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316283575",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHWENDEMAN",
    "FirstName": "FRANK",
    "MiddleName": "JOSEPH",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHWENDEMAN",
    "OtherFirstName": "FRANCIS",
    "OtherMiddleName": "JOSEPH",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "9877 WILLIAMS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTLEY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60142-6035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "224-345-4333",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12300 S IL ROUTE 47",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTLEY",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60142-9634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-802-3087",
    "PracticeLocationAddressFaxNumber": "847-669-1099",
    "EnumerationDate": "12/17/2012",
    "LastUpdateDate": "01/25/2022",
    "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": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "1465DT",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "046.010920",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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