{"npi":"1568524924","type":"NPI-2","status":"active","name":{"display":"Exercise Rx, LLC","other":[],"organization_name":"EXERCISE RX, LLC","authorised_official":"Jeffrey Miller"},"specialty":{"primary_taxonomy":"173000000X","primary_taxonomy_description":"Legal Medicine","slug":"legal-medicine","schema_org_specialty":null,"all":[{"code":"173000000X","description":"Legal Medicine","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"707 LAKE COOK RD","city":"DEERFIELD","state":"IL","postal_code":"600155613","country_code":"US","street_2":"SUITE 120","phone":"8474983736"},{"purpose":"MAILING","street_1":"PO BOX 5979","city":"BUFFALO GROVE","state":"IL","postal_code":"600895979","country_code":"US","phone":"8478975995","fax":"8478975990"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"0004926183","state":"IL","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-14","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}