{"npi":"1013130152","type":"NPI-1","status":"active","name":{"display":"Mr. Glen Trammell PA-C","other":[],"first":"GLEN","last":"TRAMMELL","middle":"DERRICK","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IL","license":"085-000875"}]},"addresses":[{"purpose":"LOCATION","street_1":"1901 W HARRISON ST","city":"CHICAGO","state":"IL","postal_code":"606123714","country_code":"US","phone":"7738697488"},{"purpose":"MAILING","street_1":"3248 186TH ST","city":"HOMEWOOD","state":"IL","postal_code":"604302798","country_code":"US","phone":"7738697488"}],"license":{"state":"IL","number":"085-000875"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221026002773","type_code":"33-97","type_desc":"ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT","state":"IL","pac_id":"8426224262"}]},"enumeration_date":"2007-04-10","last_updated":"2021-04-30","_meta":{"source":"NPPES","snapshot_date":"2021-04-30","doc_url":"https://findmynpi.com/api"}}