{"npi":"1407969645","type":"NPI-1","status":"active","name":{"display":"Dr. Beth Larson MD","other":[],"first":"BETH","last":"LARSON","middle":"E","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IL","license":"036069259"}]},"addresses":[{"purpose":"LOCATION","street_1":"2001 S WIESBROOK RD","city":"WHEATON","state":"IL","postal_code":"60189","country_code":"US","phone":"6306144000","fax":"6306144048"},{"purpose":"MAILING","street_1":"2001 N GARY AVE","city":"WHEATON","state":"IL","postal_code":"601873264","country_code":"US","phone":"6306144100","fax":"6306144048"}],"license":{"state":"IL","number":"036069259"},"identifiers":[{"type_code":"01","label":"Other","value":"L81964","state":"IL","issuer":"MEDICARE PTAN (INDIVIDUAL)"},{"type_code":"05","label":"Medicaid","value":"036069259","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100826000989","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IL","pac_id":"3375667439"}]},"enumeration_date":"2006-08-15","last_updated":"2018-06-29","_meta":{"source":"NPPES","snapshot_date":"2018-06-29","doc_url":"https://findmynpi.com/api"}}