{
"Npi": {
"NPI": "1912246323",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JILL P WOHLFEIL MD SC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4555 W SCHROEDER DR",
"SecondLineMailingAddress": "SUITE 170",
"MailingAddressCityName": "MILWAUKEE",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53223-1475",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "414-365-3210",
"MailingAddressFaxNumber": "414-365-3225",
"FirstLinePracticeLocationAddress": "W359N5002 BROWN ST",
"SecondLinePracticeLocationAddress": "SUITE 208",
"PracticeLocationAddressCityName": "OCONOMOWOC",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53066-3366",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "262-560-1920",
"PracticeLocationAddressFaxNumber": "262-567-4736",
"EnumerationDate": "02/05/2013",
"LastUpdateDate": "07/02/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOHLFEIL",
"AuthorizedOfficialFirstName": "JILL",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "262-560-1920",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "34188",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}