NPI Code Detail JSON Logo

1821927989 NPI number — JILL GULAN

NPI Number: 1821927989
Health Care Provider/Practitioner: JILL GULAN

Information about “1821927989” NPI (JILL GULAN) exists in 1821927989 in HTML format HTML  |  1821927989 in plain Text format TXT  |  1821927989 in PDF (Portable Document Format) PDF  |  1821927989 in an XML format XML  formats.

NPI Number : 1821927989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821927989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GULAN",
    "FirstName": "JILL",
    "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": "145 13TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UNION GROVE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53182-1286",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3109 MOUNT PLEASANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RACINE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53404-1511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-635-5600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/15/2026",
    "LastUpdateDate": "05/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "1590005060",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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