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1437233228 NPI number — TODD M STANKEWICZ R.PH.

NPI Number: 1437233228
Health Care Provider/Practitioner: TODD M STANKEWICZ R.PH.

Information about “1437233228” NPI (TODD M STANKEWICZ R.PH.) exists in 1437233228 in HTML format HTML  |  1437233228 in plain Text format TXT  |  1437233228 in PDF (Portable Document Format) PDF  |  1437233228 in an XML format XML  formats.

NPI Number : 1437233228 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437233228",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STANKEWICZ",
    "FirstName": "TODD",
    "MiddleName": "M",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "R.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "233 N. MICHIGAN AVE.",
    "SecondLineMailingAddress": "SUITE 600",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-353-0338",
    "MailingAddressFaxNumber": "312-777-0021",
    "FirstLinePracticeLocationAddress": "233 N MICHIGAN AVE",
    "SecondLinePracticeLocationAddress": "SUITE 600",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60601-5519",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-353-0338",
    "PracticeLocationAddressFaxNumber": "312-353-5927",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "01/13/2009",
    "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": "051-286316",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "115373-6",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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