{
"Npi": {
"NPI": "1336010875",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KAJO",
"FirstName": "IORAMO",
"MiddleName": "JESSE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MBBS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KAJO",
"OtherFirstName": "ONESIMUS",
"OtherMiddleName": "JESSE",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "MBBS",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1419 HULL AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTCHESTER",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60154-3606",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-731-0866",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2160 S 1ST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAYWOOD",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60153-3328",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-216-4533",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/17/2025",
"LastUpdateDate": "09/17/2025",
"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": "207RI0200X",
"TaxonomyName": "Infectious Disease Physician",
"LicenseNumber": "125086897",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}