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1639653314 NPI number — PRIMO CENTER FOR WOMEN AND CHILDREN

NPI Number: 1639653314
Health Care Provider/Practitioner: PRIMO CENTER FOR WOMEN AND CHILDREN

Information about “1639653314” NPI (PRIMO CENTER FOR WOMEN AND CHILDREN) exists in 1639653314 in HTML format HTML  |  1639653314 in plain Text format TXT  |  1639653314 in PDF (Portable Document Format) PDF  |  1639653314 in an XML format XML  formats.

NPI Number : 1639653314 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639653314",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PRIMO CENTER FOR WOMEN AND CHILDREN",
    "ParentOrgTIN": null,
    "OrgName": "PRIMO CENTER FOR WOMEN AND CHILDREN",
    "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": "6212 S SANGAMON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60621-2006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-826-7991",
    "MailingAddressFaxNumber": "773-471-6099",
    "FirstLinePracticeLocationAddress": "6212 S SANGAMON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60621-2006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-826-7991",
    "PracticeLocationAddressFaxNumber": "773-471-6099",
    "EnumerationDate": "09/19/2018",
    "LastUpdateDate": "10/01/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARTER",
    "AuthorizedOfficialFirstName": "ANITA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF BILLING/MANAGE CARE STR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "773-826-7991",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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