{"npi":"1669501912","type":"NPI-2","status":"active","name":{"display":"Kidney Care Services Of Southern Illinois, Ltd","other":[],"organization_name":"KIDNEY CARE SERVICES OF SOUTHERN ILLINOIS, LTD","authorised_official":"Mohammad Shafi"},"specialty":{"primary_taxonomy":"261QM2500X","primary_taxonomy_description":"Medical Specialty Clinic/Center","slug":"medical-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM2500X","description":"Medical Specialty Clinic/Center","primary":true,"state":"IL","license":"036102569"}]},"addresses":[{"purpose":"LOCATION","street_1":"900 N WASHINGTON ST","city":"DU QUOIN","state":"IL","postal_code":"628321230","country_code":"US","phone":"6185423048","fax":"6185423097"},{"purpose":"MAILING","street_1":"PO BOX 181","city":"DU QUOIN","state":"IL","postal_code":"628320181","country_code":"US","phone":"6185423048","fax":"6185423097"}],"license":{"state":"IL","number":"036102569"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036102569","state":"IL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-05","last_updated":"2008-08-12","_meta":{"source":"NPPES","snapshot_date":"2008-08-12","doc_url":"https://findmynpi.com/api"}}