{"npi":"1689762189","type":"NPI-1","status":"active","name":{"display":"Bruce Mclelland M.D.","other":[],"first":"BRUCE","last":"MCLELLAND","middle":"A","credential":"M.D."},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"IL","license":"036056311"}]},"addresses":[{"purpose":"LOCATION","street_1":"5401 N KNOXVILLE AVE","city":"PEORIA","state":"IL","postal_code":"616145098","country_code":"US","street_2":"SUITE 115","phone":"3096912903","fax":"3096912909"},{"purpose":"MAILING","street_1":"5401 N KNOXVILLE AVE STE 115","city":"PEORIA","state":"IL","postal_code":"616145068","country_code":"US","phone":"3096912903","fax":"3096912909"}],"license":{"state":"IL","number":"036056311"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036056311","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"P05833","state":"IL","issuer":"PTAN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-10","last_updated":"2014-04-15","_meta":{"source":"NPPES","snapshot_date":"2014-04-15","doc_url":"https://findmynpi.com/api"}}