{"npi":"1164530713","type":"NPI-2","status":"active","name":{"display":"Consultants In Cardiovascular Medicine, S. C.","other":[],"organization_name":"CONSULTANTS IN CARDIOVASCULAR MEDICINE, S. C.","authorised_official":"Jeffrey Shanes"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"IL","license":"36-064782"}]},"addresses":[{"purpose":"LOCATION","street_1":"675 W NORTH AVENUE","city":"MELROSE PARK","state":"IL","postal_code":"601601634","country_code":"US","street_2":"SUITE-210","phone":"7088381448","fax":"7083440508"},{"purpose":"MAILING","street_1":"675 W NORTH AVENUE","city":"MELROSE PARK","state":"IL","postal_code":"601601634","country_code":"US","street_2":"SUITE-210","phone":"7088381448","fax":"7083440508"}],"license":{"state":"IL","number":"36-064782"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"479-70-6233001","state":"IL","issuer":null},{"type_code":"05","label":"Medicaid","value":"036-064782","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"961280","state":"IL","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"CC1592","state":"IL","issuer":"MEDICARE RAILROAD"},{"type_code":"05","label":"Medicaid","value":"478-94-8068001","state":"IL","issuer":null},{"type_code":"05","label":"Medicaid","value":"036-104771","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"216577","state":"IL","issuer":"MEDICARE LOCALITY 015 GROUP PTAN NUMBER"},{"type_code":"01","label":"Other","value":"31602469","state":"IL","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-25","last_updated":"2014-07-09","_meta":{"source":"NPPES","snapshot_date":"2014-07-09","doc_url":"https://findmynpi.com/api"}}