NPI Code Detail JSON Logo

1689131369 NPI number — ANGELINA PERALEZ CADC

NPI Number: 1689131369
Health Care Provider/Practitioner: ANGELINA PERALEZ CADC

Information about “1689131369” NPI (ANGELINA PERALEZ CADC) exists in 1689131369 in HTML format HTML  |  1689131369 in plain Text format TXT  |  1689131369 in PDF (Portable Document Format) PDF  |  1689131369 in an XML format XML  formats.

NPI Number : 1689131369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689131369",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERALEZ",
    "FirstName": "ANGELINA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "195 LOVELAND CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GILBERTS",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60136-4043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-217-6112",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2 AMERICAN WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELGIN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60120-4341",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-742-3545",
    "PracticeLocationAddressFaxNumber": "847-742-3559",
    "EnumerationDate": "02/28/2019",
    "LastUpdateDate": "02/28/2019",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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