{"npi":"1396771697","type":"NPI-2","status":"active","name":{"display":"Cocreate Prof Corp","other":[],"organization_name":"COCREATE PROF CORP","authorised_official":"Joann Cimo"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"IL","license":"071-006748"}]},"addresses":[{"purpose":"LOCATION","street_1":"3850 N LAWNDALE AVE","city":"CHICAGO","state":"IL","postal_code":"606184115","country_code":"US","street_2":"STE 203","phone":"7735399183","fax":"7735090874"},{"purpose":"MAILING","street_1":"3850 N LAWNDALE AVE","city":"CHICAGO","state":"IL","postal_code":"606184115","country_code":"US","street_2":"STE 203","phone":"7735399183","fax":"7735090874"}],"license":{"state":"IL","number":"071-006748"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20061004000584","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"3870599400"}]},"enumeration_date":"2006-06-25","last_updated":"2026-01-30","_meta":{"source":"NPPES","snapshot_date":"2026-01-30","doc_url":"https://findmynpi.com/api"}}