{
"Npi": {
"NPI": "1376739490",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MIDWEST SLEEP INC",
"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": "500 N MAPLE ST",
"SecondLineMailingAddress": "RM 100",
"MailingAddressCityName": "EFFINGHAM",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62401-2005",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-342-7034",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "500 N MAPLE ST",
"SecondLinePracticeLocationAddress": "RM 100",
"PracticeLocationAddressCityName": "EFFINGHAM",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62401-2005",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "217-342-7034",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/21/2007",
"LastUpdateDate": "09/21/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RECTOR",
"AuthorizedOfficialFirstName": "JEFF",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRT, RCP",
"AuthorizedOfficialTelephoneNumber": "618-214-0884",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS1200X",
"TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}