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1366896193 NPI number — LENAH RADWAN

NPI Number: 1366896193
Health Care Provider/Practitioner: LENAH RADWAN

Information about “1366896193” NPI (LENAH RADWAN) exists in 1366896193 in HTML format HTML  |  1366896193 in plain Text format TXT  |  1366896193 in PDF (Portable Document Format) PDF  |  1366896193 in an XML format XML  formats.

NPI Number : 1366896193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366896193",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RADWAN",
    "FirstName": "LENAH",
    "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": "950 CROSS CREEK DR N APT BB2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROSELLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60172-3657",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3815 HIGHLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOWNERS GROVE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60515-1500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-384-5990",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/18/2016",
    "LastUpdateDate": "10/10/2023",
    "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": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "1001099484",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "209014137",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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