{"npi":"1033373907","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Kouimelis MD","other":[],"first":"MICHAEL","last":"KOUIMELIS","middle":"DEMETRIOS","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IL","license":"036121741"}]},"addresses":[{"purpose":"LOCATION","street_1":"9951 ROCK CUT XING","city":"LOVES PARK","state":"IL","postal_code":"611111999","country_code":"US","phone":"8156398500","fax":"8156398501"},{"purpose":"MAILING","street_1":"9951 ROCK CUT XING","city":"LOVES PARK","state":"IL","postal_code":"611111999","country_code":"US","phone":"8156398500","fax":"8156398501"}],"license":{"state":"IL","number":"036121741"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036121741","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"553180","state":"IL","issuer":"MEDICARE GROUP #"},{"type_code":"01","label":"Other","value":"834370","state":"IL","issuer":"MEDICARE GROUP #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080924000594","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IL","pac_id":"9032286570"}]},"enumeration_date":"2008-07-10","last_updated":"2021-01-28","_meta":{"source":"NPPES","snapshot_date":"2021-01-28","doc_url":"https://findmynpi.com/api"}}