{"npi":"1639136278","type":"NPI-1","status":"active","name":{"display":"Dr. Paul Theisen D.C.","other":[],"first":"PAUL","last":"THEISEN","middle":"M","credential":"D.C."},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"IL","license":"038008781"}]},"addresses":[{"purpose":"LOCATION","street_1":"1019 W GALENA AVE","city":"FREEPORT","state":"IL","postal_code":"610323819","country_code":"US","phone":"8152322225","fax":"8152332571"},{"purpose":"MAILING","street_1":"1019 W GALENA AVE","city":"FREEPORT","state":"IL","postal_code":"610323819","country_code":"US","phone":"8152322225","fax":"8152332571"}],"license":{"state":"IL","number":"038008781"},"identifiers":[{"type_code":"01","label":"Other","value":"008922311","state":"IL","issuer":"BCBS PIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110418000369","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"IL","pac_id":"8224099585"}]},"enumeration_date":"2006-04-27","last_updated":"2011-03-09","_meta":{"source":"NPPES","snapshot_date":"2011-03-09","doc_url":"https://findmynpi.com/api"}}