NPI Code Detail JSON Logo

1881047694 NPI number — RONNA JO MCALLISTER BA, CADC

NPI Number: 1881047694
Health Care Provider/Practitioner: RONNA JO MCALLISTER BA, CADC

Information about “1881047694” NPI (RONNA JO MCALLISTER BA, CADC) exists in 1881047694 in HTML format HTML  |  1881047694 in plain Text format TXT  |  1881047694 in PDF (Portable Document Format) PDF  |  1881047694 in an XML format XML  formats.

NPI Number : 1881047694 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881047694",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCALLISTER",
    "FirstName": "RONNA",
    "MiddleName": "JO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BA, CADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "708 N SHABBONA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STREATOR",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61364-2056",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-220-0299",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "401 W BRIDGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STREATOR",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61364-2705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-220-0299",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2016",
    "LastUpdateDate": "07/16/2016",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "10358",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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