{
"Npi": {
"NPI": "1386364487",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WHITEHALL SKILLED NURSING FACILITY LLC",
"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": "3450 OAKTON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SKOKIE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60076-2951",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-844-8880",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "300 WAUKEGAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DEERFIELD",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60015-4908",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-580-8287",
"PracticeLocationAddressFaxNumber": "847-317-0350",
"EnumerationDate": "08/30/2022",
"LastUpdateDate": "08/30/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAJCHENBACH",
"AuthorizedOfficialFirstName": "CHAIM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-679-9797",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}