{"npi":"1053514513","type":"NPI-1","status":"active","name":{"display":"Qinwen Mao MD","other":[],"first":"QINWEN","last":"MAO","credential":"MD"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZN0500X","description":"Neuropathology Physician","primary":false,"state":"IL","license":"036125842"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"IL","license":"036125842"}]},"addresses":[{"purpose":"LOCATION","street_1":"710 N FAIRBANKS CT STE 2-458","city":"CHICAGO","state":"IL","postal_code":"606113013","country_code":"US","phone":"2145908058"},{"purpose":"MAILING","street_1":"710 N FAIRBANKS CT STE 2-458","city":"CHICAGO","state":"IL","postal_code":"606113013","country_code":"US","phone":"3129269487"}],"license":{"state":"IL","number":"036125842"},"identifiers":[{"type_code":"01","label":"Other","value":"BP1-0022464","state":null,"issuer":"INSTITUTIONAL PERMIT"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210120002968","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"UT","pac_id":"7315079290"}]},"enumeration_date":"2007-06-11","last_updated":"2021-11-20","_meta":{"source":"NPPES","snapshot_date":"2021-11-20","doc_url":"https://findmynpi.com/api"}}