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1356706246 NPI number — AUSTIN SPECIAL CHICAGO

NPI Number: 1356706246
Health Care Provider/Practitioner: AUSTIN SPECIAL CHICAGO

Information about “1356706246” NPI (AUSTIN SPECIAL CHICAGO) exists in 1356706246 in HTML format HTML  |  1356706246 in plain Text format TXT  |  1356706246 in PDF (Portable Document Format) PDF  |  1356706246 in an XML format XML  formats.

NPI Number : 1356706246 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356706246",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AUSTIN SPECIAL CHICAGO",
    "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": "5318 N ELSTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60630-1611",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-282-9992",
    "MailingAddressFaxNumber": "773-282-1749",
    "FirstLinePracticeLocationAddress": "5318 N ELSTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60630-1611",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-282-9992",
    "PracticeLocationAddressFaxNumber": "773-282-1749",
    "EnumerationDate": "12/21/2015",
    "LastUpdateDate": "12/21/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABAN",
    "AuthorizedOfficialFirstName": "MARICEL",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "773-282-9992",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "199700018C",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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