{"npi":"1164581468","type":"NPI-1","status":"active","name":{"display":"Charles Lane MD","other":[],"first":"CHARLES","last":"LANE","middle":"A.","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"IL","license":"036083769"}]},"addresses":[{"purpose":"LOCATION","street_1":"6810 STATE ROUTE 162 STE 100","city":"MARYVILLE","state":"IL","postal_code":"620628560","country_code":"US","phone":"6182885711","fax":"6182883647"},{"purpose":"MAILING","street_1":"6810 STATE ROUTE 162 STE 100","city":"MARYVILLE","state":"IL","postal_code":"620628560","country_code":"US","phone":"6182883616","fax":"6182883647"}],"license":{"state":"IL","number":"036083769"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"353524701001","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041101000325","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IL","pac_id":"4284696329"}]},"enumeration_date":"2006-12-06","last_updated":"2020-03-09","_meta":{"source":"NPPES","snapshot_date":"2020-03-09","doc_url":"https://findmynpi.com/api"}}