{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "OAK BROOK FOOT & ANKLE SPECIALISTS PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 5815",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VILLA PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60181-5309",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-214-2047",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10176 W 400 N STE D",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MICHIGAN CITY",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46360-9009",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-214-2047",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/02/2019",
"LastUpdateDate": "10/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAHMOOD",
"AuthorizedOfficialFirstName": "AAMIR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "773-531-7560",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}