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1447282884 NPI number — ANNA B. FALLON MSW, LCSW

NPI Number: 1447282884
Health Care Provider/Practitioner: ANNA B. FALLON MSW, LCSW

Information about “1447282884” NPI (ANNA B. FALLON MSW, LCSW) exists in 1447282884 in HTML format HTML  |  1447282884 in plain Text format TXT  |  1447282884 in PDF (Portable Document Format) PDF  |  1447282884 in an XML format XML  formats.

NPI Number : 1447282884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447282884",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FALLON",
    "FirstName": "ANNA",
    "MiddleName": "B.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4660 N LECLAIRE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60630-3817",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-283-3494",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3003 W TOUHY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60645-2833",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-508-1137",
    "PracticeLocationAddressFaxNumber": "773-262-7084",
    "EnumerationDate": "07/07/2006",
    "LastUpdateDate": "07/09/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "12430223",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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