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1568585933 NPI number — LI ZHANG MD SC

NPI Number: 1568585933
Health Care Provider/Practitioner: LI ZHANG MD SC

Information about “1568585933” NPI (LI ZHANG MD SC) exists in 1568585933 in HTML format HTML  |  1568585933 in plain Text format TXT  |  1568585933 in PDF (Portable Document Format) PDF  |  1568585933 in an XML format XML  formats.

NPI Number : 1568585933 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568585933",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LI ZHANG MD SC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "P.O. BOX 5428",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODRIDGE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60517",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-968-8220",
    "MailingAddressFaxNumber": "630-968-8230",
    "FirstLinePracticeLocationAddress": "5980 SOUTH ROUTE 53",
    "SecondLinePracticeLocationAddress": "SUITE-B",
    "PracticeLocationAddressCityName": "LISLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60532",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-968-8220",
    "PracticeLocationAddressFaxNumber": "630-968-8230",
    "EnumerationDate": "04/09/2007",
    "LastUpdateDate": "06/06/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ZHANG",
    "AuthorizedOfficialFirstName": "LI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "630-968-8220",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "036095842",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "036.095842",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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