{"npi":"1013210269","type":"NPI-2","status":"active","name":{"display":"Jeremy Bonsol, LLC","other":[],"organization_name":"JEREMY BONSOL,LLC","authorised_official":"Jeremy Bonsol"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3514 N SOUTHPORT AVE","city":"CHICAGO","state":"IL","postal_code":"606571436","country_code":"US","phone":"7732482544","fax":"5052133515"},{"purpose":"MAILING","street_1":"3514 N SOUTHPORT AVE","city":"CHICAGO","state":"IL","postal_code":"606571436","country_code":"US","phone":"7732482544","fax":"5052133515"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-12-09","last_updated":"2010-12-09","_meta":{"source":"NPPES","snapshot_date":"2010-12-09","doc_url":"https://findmynpi.com/api"}}