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1730542788 NPI number — ALLISON RANKIN BECKETT MD

NPI Number: 1730542788
Health Care Provider/Practitioner: ALLISON RANKIN BECKETT MD

Information about “1730542788” NPI (ALLISON RANKIN BECKETT MD) exists in 1730542788 in HTML format HTML  |  1730542788 in plain Text format TXT  |  1730542788 in PDF (Portable Document Format) PDF  |  1730542788 in an XML format XML  formats.

NPI Number : 1730542788 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730542788",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BECKETT",
    "FirstName": "ALLISON",
    "MiddleName": "RANKIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4400 W 95TH ST STE 308",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK LAWN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60453-2660",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-346-4040",
    "MailingAddressFaxNumber": "708-346-3287",
    "FirstLinePracticeLocationAddress": "4400 W 95TH ST STE 308",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-2660",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-346-4040",
    "PracticeLocationAddressFaxNumber": "708-346-3287",
    "EnumerationDate": "03/29/2016",
    "LastUpdateDate": "08/30/2023",
    "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": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "036.156816",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "MD.36485",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208G00000X",
          "TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
          "LicenseNumber": "036156816",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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