{"npi":"1386976959","type":"NPI-2","status":"active","name":{"display":"Boycin Medical Clinic Ltd.","other":[],"organization_name":"BOYCIN MEDICAL CLINIC LTD.","authorised_official":"Ndudi Aniemeka"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"IL","license":"036126142"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"IL","license":"036085291"}]},"addresses":[{"purpose":"LOCATION","street_1":"5219 W MADISON ST","city":"CHICAGO","state":"IL","postal_code":"606444152","country_code":"US","street_2":"1ST FLOOR","phone":"7733784823","fax":"7733789401"},{"purpose":"MAILING","street_1":"5219 W MADISON ST","city":"CHICAGO","state":"IL","postal_code":"606444152","country_code":"US","phone":"7733784823","fax":"7733789401"}],"license":{"state":"IL","number":"036085291"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036085291","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100225000725","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"5092859256"}]},"enumeration_date":"2010-02-08","last_updated":"2011-05-04","_meta":{"source":"NPPES","snapshot_date":"2011-05-04","doc_url":"https://findmynpi.com/api"}}