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1861596900 NPI number — WENDY KAZIMIR DUMONSKI ORTL

NPI Number: 1861596900
Health Care Provider/Practitioner: WENDY KAZIMIR DUMONSKI ORTL

Information about “1861596900” NPI (WENDY KAZIMIR DUMONSKI ORTL) exists in 1861596900 in HTML format HTML  |  1861596900 in plain Text format TXT  |  1861596900 in PDF (Portable Document Format) PDF  |  1861596900 in an XML format XML  formats.

NPI Number : 1861596900 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861596900",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUMONSKI",
    "FirstName": "WENDY",
    "MiddleName": "KAZIMIR",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ORTL",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KAZIMIR",
    "OtherFirstName": "WENDY",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "OTRL",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "514 WENONAH AVE",
    "SecondLineMailingAddress": "#35",
    "MailingAddressCityName": "OAK PARK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-925-8816",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5820 W IRVING PARK RD",
    "SecondLinePracticeLocationAddress": "VITAL REHABILITATION",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-685-8482",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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