{
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"FirstLineMailingAddress": "600 N MCCLURG CT",
"SecondLineMailingAddress": "SUITE 507A",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60611-3044",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-494-5855",
"MailingAddressFaxNumber": "312-787-2427",
"FirstLinePracticeLocationAddress": "600 N MCCLURG CT",
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"PracticeLocationAddressTelephoneNumber": "708-494-5855",
"PracticeLocationAddressFaxNumber": "312-787-2427",
"EnumerationDate": "04/29/2010",
"LastUpdateDate": "04/29/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LERNER",
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"AuthorizedOfficialTelephoneNumber": "708-494-5855",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Adult Medicine Physician",
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"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}