{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "TOWN OF CICERO",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4949 W CERMAK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CICERO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60804",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-656-3600",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2250 S 49TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CICERO",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-656-3600",
"PracticeLocationAddressFaxNumber": "708-652-7480",
"EnumerationDate": "09/12/2008",
"LastUpdateDate": "11/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHULTZ",
"AuthorizedOfficialFirstName": "DONALD",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "708-656-3600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}