{
"Npi": {
"NPI": "1831350875",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "COOK",
"FirstName": "AKILAH",
"MiddleName": "L",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "22638 GRANITE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRANKFORT",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60423-8979",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-601-0890",
"MailingAddressFaxNumber": "815-717-7229",
"FirstLinePracticeLocationAddress": "1005 W LARAWAY RD STE 230",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW LENOX",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60451-4117",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-934-8444",
"PracticeLocationAddressFaxNumber": "815-717-7229",
"EnumerationDate": "06/23/2008",
"LastUpdateDate": "07/05/2024",
"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": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "01075728A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208M00000X",
"TaxonomyName": "Hospitalist Physician",
"LicenseNumber": "01075728A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "036120373",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}