{
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"FirstLineMailingAddress": "4225 S STATE ROUTE 159",
"SecondLineMailingAddress": "STE 1",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "4225 S STATE ROUTE 159",
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"EnumerationDate": "03/05/2009",
"LastUpdateDate": "04/09/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALLISON",
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"AuthorizedOfficialCredential": "C-PED",
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"Taxonomies": {
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"TaxonomyName": "Prosthetic/Orthotic Supplier",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}