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1396014288 NPI number — MIDWEST PERINATAL CONSULTANTS, SC

NPI Number: 1396014288
Health Care Provider/Practitioner: MIDWEST PERINATAL CONSULTANTS, SC

Information about “1396014288” NPI (MIDWEST PERINATAL CONSULTANTS, SC) exists in 1396014288 in HTML format HTML  |  1396014288 in plain Text format TXT  |  1396014288 in PDF (Portable Document Format) PDF  |  1396014288 in an XML format XML  formats.

NPI Number : 1396014288 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396014288",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MIDWEST PERINATAL CONSULTANTS, SC",
    "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": "PO BOX 743",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELGI",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60121",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1425 N RANDALL RD",
    "SecondLinePracticeLocationAddress": "SHERMAN HOSP, SUITE 1-2150",
    "PracticeLocationAddressCityName": "ELGIN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60123-2300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "224-783-8975",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/21/2011",
    "LastUpdateDate": "12/21/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANOGURA",
    "AuthorizedOfficialFirstName": "ANITA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "224-783-8975",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2500X",
        "TaxonomyName": "Medical Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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