{
"Npi": {
"NPI": "1679729792",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HASAN",
"FirstName": "UZMA",
"MiddleName": "NAVEEN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SIDDIQUI",
"OtherFirstName": "UZMA",
"OtherMiddleName": "NAVEEN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2300 CHILDRENS PLAZA BOX # 20",
"SecondLineMailingAddress": "DIVISION OF INFECTIOUS DISEASES",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-880-4949",
"MailingAddressFaxNumber": "773-880-8626",
"FirstLinePracticeLocationAddress": "2300 CHILDRENS PLAZA BOX # 20",
"SecondLinePracticeLocationAddress": "DIVISION OF INFECTIOUS DISEASES",
"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "773-880-4949",
"PracticeLocationAddressFaxNumber": "773-880-8626",
"EnumerationDate": "08/08/2008",
"LastUpdateDate": "04/25/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "25MA08830400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080P0208X",
"TaxonomyName": "Pediatric Infectious Diseases Physician",
"LicenseNumber": "036117842",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080P0208X",
"TaxonomyName": "Pediatric Infectious Diseases Physician",
"LicenseNumber": "25MA08830400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}