{
"Npi": {
"NPI": "1821144692",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AANCHOR HEALTH CENTER, LTD.",
"LastName": null,
"FirstName": null,
"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": "PO BOX 681039",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCHAUMBURG",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60168-1039",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-255-7400",
"MailingAddressFaxNumber": "847-398-4585",
"FirstLinePracticeLocationAddress": "1186 ROOSEVELT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLEN ELLYN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60137-6058",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-495-4400",
"PracticeLocationAddressFaxNumber": "847-398-4585",
"EnumerationDate": "01/26/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STERN",
"AuthorizedOfficialFirstName": "TAMMY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-255-7400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "7002447",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}