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1417224361 NPI number — BRIAN L HILL R.PH

NPI Number: 1417224361
Health Care Provider/Practitioner: BRIAN L HILL R.PH

Information about “1417224361” NPI (BRIAN L HILL R.PH) exists in 1417224361 in HTML format HTML  |  1417224361 in plain Text format TXT  |  1417224361 in PDF (Portable Document Format) PDF  |  1417224361 in an XML format XML  formats.

NPI Number : 1417224361 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417224361",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HILL",
    "FirstName": "BRIAN",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "R.PH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HILL",
    "OtherFirstName": "BRIAN",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "R.PH",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3700 N LAKE SHORE DR",
    "SecondLineMailingAddress": "#308",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60613-4243",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-868-1749",
    "MailingAddressFaxNumber": "773-868-0881",
    "FirstLinePracticeLocationAddress": "11 E 75TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60619-1601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-224-1211",
    "PracticeLocationAddressFaxNumber": "773-224-1810",
    "EnumerationDate": "11/21/2011",
    "LastUpdateDate": "11/21/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "051037456",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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