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1770103269 NPI number — ALEKSANDRA KOSTIC

NPI Number: 1770103269
Health Care Provider/Practitioner: ALEKSANDRA KOSTIC

Information about “1770103269” NPI (ALEKSANDRA KOSTIC) exists in 1770103269 in HTML format HTML  |  1770103269 in plain Text format TXT  |  1770103269 in PDF (Portable Document Format) PDF  |  1770103269 in an XML format XML  formats.

NPI Number : 1770103269 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770103269",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOSTIC",
    "FirstName": "ALEKSANDRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "41 NICHOLAS DR E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DES PLAINES",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60016-6217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-575-1750",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "650 W GRAND AVE STE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELMHURST",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60126-1025",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-263-1613",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2020",
    "LastUpdateDate": "04/24/2020",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "RBT-20-111793",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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