{
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"EIN": null,
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"OtherOrgName": null,
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"OtherLastName": "CIBULKA",
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"FirstLineMailingAddress": "211 E ONTARIO ST",
"SecondLineMailingAddress": "7TH FLOOR",
"MailingAddressCityName": "CHICAGO",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "420 E SUPERIOR ST",
"SecondLinePracticeLocationAddress": "RUBLOFF 12TH FLOOR",
"PracticeLocationAddressCityName": "CHICAGO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-503-7975",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/28/2013",
"LastUpdateDate": "05/26/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
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"TaxonomyName": "Hospitalist Physician",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}