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1902886021 NPI number — LINDA L FERRIS DO

NPI Number: 1902886021
Health Care Provider/Practitioner: LINDA L FERRIS DO

Information about “1902886021” NPI (LINDA L FERRIS DO) exists in 1902886021 in HTML format HTML  |  1902886021 in plain Text format TXT  |  1902886021 in PDF (Portable Document Format) PDF  |  1902886021 in an XML format XML  formats.

NPI Number : 1902886021 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902886021",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERRIS",
    "FirstName": "LINDA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4405 WEAVER PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARRENVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60555-3269",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-352-5450",
    "MailingAddressFaxNumber": "630-352-5499",
    "FirstLinePracticeLocationAddress": "4405 WEAVER PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARRENVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60555-3269",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-352-5450",
    "PracticeLocationAddressFaxNumber": "630-352-5499",
    "EnumerationDate": "01/17/2006",
    "LastUpdateDate": "01/22/2013",
    "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": "207RH0003X",
        "TaxonomyName": "Hematology & Oncology Physician",
        "LicenseNumber": "036107361",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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