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1578057634 NPI number — MELANIE DEL MUNDO, LTD

NPI Number: 1578057634
Health Care Provider/Practitioner: MELANIE DEL MUNDO, LTD

Information about “1578057634” NPI (MELANIE DEL MUNDO, LTD) exists in 1578057634 in HTML format HTML  |  1578057634 in plain Text format TXT  |  1578057634 in PDF (Portable Document Format) PDF  |  1578057634 in an XML format XML  formats.

NPI Number : 1578057634 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578057634",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MELANIE DEL MUNDO, LTD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "440 W COLFAX ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALATINE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60067-2537",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-593-5032",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1608 W COLONIAL PKWY STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INVERNESS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60067-4755",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-593-5032",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2018",
    "LastUpdateDate": "06/21/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEL MUNDO",
    "AuthorizedOfficialFirstName": "MELANIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "312-593-5032",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": "180-004300",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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