{"npi":"1477047124","type":"NPI-1","status":"active","name":{"display":"Ibraheem Javeed Mohammed","other":[],"first":"IBRAHEEM JAVEED","last":"MOHAMMED"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"IL","license":"036164689"}]},"addresses":[{"purpose":"LOCATION","street_1":"405 W JACKSON ST","city":"CARBONDALE","state":"IL","postal_code":"629011462","country_code":"US","phone":"6185490721"},{"purpose":"MAILING","street_1":"PO BOX 3988","city":"CARBONDALE","state":"IL","postal_code":"629023988","country_code":"US","phone":"6184575200"}],"license":{"state":"IL","number":"036164689"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230630002195","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"IL","pac_id":"9032578547"}]},"enumeration_date":"2018-06-17","last_updated":"2023-09-12","_meta":{"source":"NPPES","snapshot_date":"2023-09-12","doc_url":"https://findmynpi.com/api"}}