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1992925580 NPI number — ILLINOIS DEPARTMENT OF PUBLIC HEALTH

NPI Number: 1992925580
Health Care Provider/Practitioner: ILLINOIS DEPARTMENT OF PUBLIC HEALTH

Information about “1992925580” NPI (ILLINOIS DEPARTMENT OF PUBLIC HEALTH) exists in 1992925580 in HTML format HTML  |  1992925580 in plain Text format TXT  |  1992925580 in PDF (Portable Document Format) PDF  |  1992925580 in an XML format XML  formats.

NPI Number : 1992925580 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992925580",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "535 W JEFFERSON ST",
    "SecondLineMailingAddress": "5TH FLOOR",
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62761-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-782-4977",
    "MailingAddressFaxNumber": "217-782-3987",
    "FirstLinePracticeLocationAddress": "825 N RUTLEDGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62702-4910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-782-6562",
    "PracticeLocationAddressFaxNumber": "217-524-7924",
    "EnumerationDate": "04/26/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHITAKER",
    "AuthorizedOfficialFirstName": "ERIC",
    "AuthorizedOfficialMiddleName": "E.",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D., MPH",
    "AuthorizedOfficialTelephoneNumber": "312-814-5278",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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