{
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"FirstLineMailingAddress": "2500 WOODLAWN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTHBROOK",
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"MailingAddressPostalCode": "60062-5949",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-922-6823",
"MailingAddressFaxNumber": "847-272-7474",
"FirstLinePracticeLocationAddress": "53 W JACKSON BLVD",
"SecondLinePracticeLocationAddress": "ROOM 924",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-922-6823",
"PracticeLocationAddressFaxNumber": "847-272-7474",
"EnumerationDate": "05/07/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STERNBERG",
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"AuthorizedOfficialCredential": "L.C.S.W.",
"AuthorizedOfficialTelephoneNumber": "312-922-6823",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}