NPI Code Detail JSON Logo

1720252703 NPI number — AMBER N GUZAK B.A., M.B.A., M.A.

NPI Number: 1720252703
Health Care Provider/Practitioner: AMBER N GUZAK B.A., M.B.A., M.A.

Information about “1720252703” NPI (AMBER N GUZAK B.A., M.B.A., M.A.) exists in 1720252703 in HTML format HTML  |  1720252703 in plain Text format TXT  |  1720252703 in PDF (Portable Document Format) PDF  |  1720252703 in an XML format XML  formats.

NPI Number : 1720252703 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720252703",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUZAK",
    "FirstName": "AMBER",
    "MiddleName": "N",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "B.A., M.B.A., M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STEVENS",
    "OtherFirstName": "AMBER",
    "OtherMiddleName": "N",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "B.A.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4255 142ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRESTWOOD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60445-2307",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-272-4470",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4255 142ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CRESTWOOD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60445-2307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-272-4470",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2008",
    "LastUpdateDate": "04/21/2008",
    "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": "222Q00000X",
        "TaxonomyName": "Developmental Therapist",
        "LicenseNumber": "G22001481631",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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