{
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"FirstLineMailingAddress": "402 E. WASHINGTON ST.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60185-2232",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-649-2864",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "328 S. THIRD ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GENEVA",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/09/2012",
"LastUpdateDate": "02/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIAN-TSCHEREWIK",
"AuthorizedOfficialFirstName": "KRYSIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "LMT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "038.010540",
"LicenseNumberStateCode": "IL",
"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."
}
}
}
}