{"npi":"1720009228","type":"NPI-1","status":"active","name":{"display":"Dr. Jincy Joseph MD","other":[],"first":"JINCY","last":"JOSEPH","middle":"K","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IL","license":"036116215"}]},"addresses":[{"purpose":"LOCATION","street_1":"2201 RANDALL RD","city":"CARPENTERSVILLE","state":"IL","postal_code":"601103355","country_code":"US","phone":"8476953200"},{"purpose":"MAILING","street_1":"1942 DEMPSTER ST","city":"EVANSTON","state":"IL","postal_code":"602021016","country_code":"US","phone":"8476881900","fax":"2246108595"}],"license":{"state":"IL","number":"036116215"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036116215","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"2232882","state":"IL","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-21","last_updated":"2024-02-27","_meta":{"source":"NPPES","snapshot_date":"2024-02-27","doc_url":"https://findmynpi.com/api"}}