{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "NORTHERN ILLINOIS SURGERY CENTER LIMITED PATRNERSHIP",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "75 REMITTANCE DR",
"SecondLineMailingAddress": "SUITE 3278",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60675-1001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-505-7733",
"MailingAddressFaxNumber": "630-799-0223",
"FirstLinePracticeLocationAddress": "475 E DIEHL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NAPERVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60563-1353",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-505-7733",
"PracticeLocationAddressFaxNumber": "630-799-0223",
"EnumerationDate": "08/22/2006",
"LastUpdateDate": "06/14/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FATO",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": "J",
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"AuthorizedOfficialCredential": "MBA, CASC",
"AuthorizedOfficialTelephoneNumber": "630-505-3383",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "7001860",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}