{"npi":"1336535657","type":"NPI-1","status":"active","name":{"display":"Alyssa Bolduan","other":[],"first":"ALYSSA","last":"BOLDUAN","middle":"JOY"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":false,"state":"TN","license":"60967"},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"IL","license":"036156561"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"302 RANDALL RD STE 202","city":"GENEVA","state":"IL","postal_code":"601344204","country_code":"US","phone":"6309383900","fax":"6309383910"},{"purpose":"MAILING","street_1":"302 RANDALL RD STE 202","city":"GENEVA","state":"IL","postal_code":"601344204","country_code":"US","phone":"6309383900"}],"license":{"state":"IL","number":"036156561"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210909002786","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"IL","pac_id":"8325340516"}]},"enumeration_date":"2015-04-13","last_updated":"2022-04-29","_meta":{"source":"NPPES","snapshot_date":"2022-04-29","doc_url":"https://findmynpi.com/api"}}