{
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"FirstLineMailingAddress": "500 PARK BLVD",
"SecondLineMailingAddress": "SUITE LL80C",
"MailingAddressCityName": "ITASCA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-285-8007",
"MailingAddressFaxNumber": "630-285-8017",
"FirstLinePracticeLocationAddress": "1990 LARKIN AVE",
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"PracticeLocationAddressCityName": "ELGIN",
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"PracticeLocationAddressTelephoneNumber": "847-289-9800",
"PracticeLocationAddressFaxNumber": "847-289-9804",
"EnumerationDate": "02/19/2007",
"LastUpdateDate": "08/18/2008",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEOL",
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"Taxonomies": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}