{
"Npi": {
"NPI": "1477587277",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PEREZ",
"FirstName": "TONY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DPM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PEREZ",
"OtherFirstName": "ANTHONY",
"OtherMiddleName": "R",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DPM",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "24937 WINTERBERRY LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLAINFIELD",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60585-5687",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-842-2230",
"MailingAddressFaxNumber": "312-842-9737",
"FirstLinePracticeLocationAddress": "553 W 31ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60616-4992",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-842-2230",
"PracticeLocationAddressFaxNumber": "312-842-9737",
"EnumerationDate": "07/10/2006",
"LastUpdateDate": "10/17/2025",
"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": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "016003875",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}