NPI Code Detail JSON Logo

1871102111 NPI number — PATRYCJA A RADON

NPI Number: 1871102111
Health Care Provider/Practitioner: PATRYCJA A RADON

Information about “1871102111” NPI (PATRYCJA A RADON) exists in 1871102111 in HTML format HTML  |  1871102111 in plain Text format TXT  |  1871102111 in PDF (Portable Document Format) PDF  |  1871102111 in an XML format XML  formats.

NPI Number : 1871102111 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871102111",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RADON",
    "FirstName": "PATRYCJA",
    "MiddleName": "A",
    "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": "8380 W SUNNYSIDE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORRIDGE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60706-4350",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-870-2794",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "496 W ARMY TRAIL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAROL STREAM",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60188-9366",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-221-1577",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2020",
    "LastUpdateDate": "07/22/2020",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "019.032694",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.