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1811218241 NPI number — SHANNON JEAN JARONIK PT

NPI Number: 1811218241
Health Care Provider/Practitioner: SHANNON JEAN JARONIK PT

Information about “1811218241” NPI (SHANNON JEAN JARONIK PT) exists in 1811218241 in HTML format HTML  |  1811218241 in plain Text format TXT  |  1811218241 in PDF (Portable Document Format) PDF  |  1811218241 in an XML format XML  formats.

NPI Number : 1811218241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811218241",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JARONIK",
    "FirstName": "SHANNON",
    "MiddleName": "JEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUMPP",
    "OtherFirstName": "SHANNON",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1000 NORTH WESTMORELAND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE FOREST",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60045",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-535-2000",
    "MailingAddressFaxNumber": "847-657-3527",
    "FirstLinePracticeLocationAddress": "1000 NORTH WESTMORELAND RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE FOREST",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-535-7552",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2010",
    "LastUpdateDate": "03/17/2018",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "070014814",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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