{"npi":"1467444620","type":"NPI-1","status":"active","name":{"display":"Dr. Charles Amenta M.D.","other":[],"first":"CHARLES","last":"AMENTA","middle":"ANTHONY","credential":"M.D."},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"IL","license":"036075600"},{"code":"174400000X","description":"Specialist","primary":false,"state":"IL","license":"036075600"}]},"addresses":[{"purpose":"LOCATION","street_1":"18161 MORRIS AVE","city":"HOMEWOOD","state":"IL","postal_code":"604302108","country_code":"US","street_2":"SUITE 105","phone":"7087995520","fax":"7087995358"},{"purpose":"MAILING","street_1":"18161 MORRIS AVE","city":"HOMEWOOD","state":"IL","postal_code":"604302108","country_code":"US","street_2":"SUITE 105","phone":"7087995520","fax":"7087995358"}],"license":{"state":"IL","number":"036075600"},"identifiers":[{"type_code":"01","label":"Other","value":"040010012","state":"GA","issuer":"RAILROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"036075600","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"01606798","state":"IL","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"05055067","state":"TX","issuer":"AETNA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080715000271","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"IL","pac_id":"1456424134"}]},"enumeration_date":"2005-08-15","last_updated":"2025-02-20","_meta":{"source":"NPPES","snapshot_date":"2025-02-20","doc_url":"https://findmynpi.com/api"}}