{"npi":"1508227216","type":"NPI-2","status":"active","name":{"display":"Team Anti-Aging Center INC","other":[],"organization_name":"TEAM ANTI-AGING CENTER INC","authorised_official":"James Stoxen"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"IL","license":"038005767"}]},"addresses":[{"purpose":"LOCATION","street_1":"222 W ONTARIO ST","city":"CHICAGO","state":"IL","postal_code":"606543652","country_code":"US","street_2":"SUITE 503","phone":"7737355200","fax":"7737358656"},{"purpose":"MAILING","street_1":"222 W ONTARIO ST","city":"CHICAGO","state":"IL","postal_code":"606543652","country_code":"US","street_2":"SUITE 503","phone":"7737355200","fax":"7737358656"}],"license":{"state":"IL","number":"038005767"},"identifiers":[{"type_code":"01","label":"Other","value":"038005767","state":"IL","issuer":"ILLINOIS STATE LICENSE NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-03-09","last_updated":"2016-03-09","_meta":{"source":"NPPES","snapshot_date":"2016-03-09","doc_url":"https://findmynpi.com/api"}}