{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HOUSE PHYSICIANS LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2951 S KING DR APT 1917",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60616-3368",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-996-0919",
"MailingAddressFaxNumber": "312-842-1949",
"FirstLinePracticeLocationAddress": "2723 W DEVON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "773-996-0919",
"PracticeLocationAddressFaxNumber": "312-842-1949",
"EnumerationDate": "07/28/2011",
"LastUpdateDate": "07/29/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIAZ",
"AuthorizedOfficialFirstName": "KAASHIF",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "773-996-0919",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}