{
"Npi": {
"NPI": "1609038959",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DUPAGE CONVALESCENT CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "400 N COUNTY FARM RD",
"SecondLineMailingAddress": "FINANCE DEPT.",
"MailingAddressCityName": "WHEATON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60187-3908",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-784-4216",
"MailingAddressFaxNumber": "630-784-4212",
"FirstLinePracticeLocationAddress": "400 N COUNTY FARM RD",
"SecondLinePracticeLocationAddress": "FINANCE DEPT.",
"PracticeLocationAddressCityName": "WHEATON",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60187-3908",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-784-4216",
"PracticeLocationAddressFaxNumber": "630-784-4212",
"EnumerationDate": "06/27/2008",
"LastUpdateDate": "06/27/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WELCH",
"AuthorizedOfficialFirstName": "ELIZABETH",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MPH,LNHA",
"AuthorizedOfficialTelephoneNumber": "630-784-4200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "0008201",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}