{"npi":"1689651010","type":"NPI-1","status":"active","name":{"display":"Dennis Prohaska D. O.","other":[],"first":"DENNIS","last":"PROHASKA","middle":"W","credential":"D. O."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"WI","license":"1610-023"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"IL","license":"085-002276"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"IL","license":"085-002276"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"IN","license":"02004880B"}]},"addresses":[{"purpose":"LOCATION","street_1":"1516 S WABASH AVE","city":"CHICAGO","state":"IL","postal_code":"606052903","country_code":"US","street_2":"APT 1104","phone":"4148705178"},{"purpose":"MAILING","street_1":"1516 S WABASH AVE","city":"CHICAGO","state":"IL","postal_code":"606052903","country_code":"US","street_2":"APT 1104","phone":"4148705178"}],"license":{"state":"IN","number":"02004880B"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"41994500","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160728002440","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"IN","pac_id":"3375526494"},{"enrlmt_id":"I20190822000191","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"IL","pac_id":"3375526494"},{"enrlmt_id":"I20250903003562","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WI","pac_id":"3375526494"}]},"enumeration_date":"2005-12-28","last_updated":"2016-07-15","_meta":{"source":"NPPES","snapshot_date":"2016-07-15","doc_url":"https://findmynpi.com/api"}}