{"npi":"1134514078","type":"NPI-1","status":"active","name":{"display":"Chad Glisch","other":[],"first":"CHAD","last":"GLISCH"},"specialty":{"primary_taxonomy":"207RH0003X","primary_taxonomy_description":"Hematology & Oncology","slug":"hematology-oncology","schema_org_specialty":"Oncologic","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"WI","license":"66427"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":true,"state":"WI","license":"66427"}]},"addresses":[{"purpose":"LOCATION","street_1":"8901 W LINCOLN AVE","city":"WEST ALLIS","state":"WI","postal_code":"532272409","country_code":"US","phone":"4143295950","fax":"4143295943"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US"}],"license":{"state":"WI","number":"66427"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100061678","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"1134514078","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190523002843","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"WI","pac_id":"7012293442"}]},"enumeration_date":"2015-03-30","last_updated":"2023-10-20","_meta":{"source":"NPPES","snapshot_date":"2023-10-20","doc_url":"https://findmynpi.com/api"}}