{
"Npi": {
"NPI": "1619163383",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MELINE CHIROPRACTIC CLINIC,",
"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": "1448 S BUTTERFIELD ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MUNDELEIN",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60060",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-362-3111",
"MailingAddressFaxNumber": "847-362-3319",
"FirstLinePracticeLocationAddress": "1448 S BUTTERFIELD ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MUNDELEIN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60060",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-362-3111",
"PracticeLocationAddressFaxNumber": "847-362-3319",
"EnumerationDate": "09/17/2007",
"LastUpdateDate": "09/17/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MELINE",
"AuthorizedOfficialFirstName": "SARA",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "847-362-3111",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"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."
}
}
}
}