{
"Npi": {
"NPI": "1346542339",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF LASALLE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "745 2ND ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LA SALLE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61301-2501",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-223-4579",
"MailingAddressFaxNumber": "815-223-0857",
"FirstLinePracticeLocationAddress": "745 2ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LA SALLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61301-2501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-223-4579",
"PracticeLocationAddressFaxNumber": "815-223-0857",
"EnumerationDate": "11/23/2010",
"LastUpdateDate": "12/09/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BACIDORE",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": "ANTONE",
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "EMT-BASIC",
"AuthorizedOfficialTelephoneNumber": "815-223-0834",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "022482",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}