{
"Npi": {
"NPI": "1366006017",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROKICKI",
"FirstName": "KLAUDIA",
"MiddleName": "JOANNA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SZUBERT",
"OtherFirstName": "KLAUDIA",
"OtherMiddleName": "JOANNA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "RN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3100 W IL ROUTE 60",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MUNDELEIN",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60060-4267",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-367-2660",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3100 W IL ROUTE 60",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MUNDELEIN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60060-4267",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-367-2660",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2019",
"LastUpdateDate": "07/18/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "209018262",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}