{"npi":"1124285028","type":"NPI-2","status":"active","name":{"display":"Gabriels Pride Pediatrics","other":[],"organization_name":"GABRIELS PRIDE PEDIATRICS","authorised_official":"Thomas Levvaulh"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"IL","license":"036095488"}]},"addresses":[{"purpose":"LOCATION","street_1":"1337 PARK PLAZA DRIVE","city":"OFALLON","state":"IL","postal_code":"622691777","country_code":"US","street_2":"SUITE 1","phone":"6186247391","fax":"6186247392"},{"purpose":"MAILING","street_1":"1337 PARK PLAZA DRIVE","city":"OFALLON","state":"IL","postal_code":"622691777","country_code":"US","street_2":"SUITE 1","phone":"6186247391","fax":"6186247392"}],"license":{"state":"IL","number":"036095488"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036095488","state":"IL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-05-19","last_updated":"2008-05-19","_meta":{"source":"NPPES","snapshot_date":"2008-05-19","doc_url":"https://findmynpi.com/api"}}