{"npi":"1720057730","type":"NPI-2","status":"active","name":{"display":"Heartland Occupational Medicine Physicians Of Illinois S C","other":[],"organization_name":"HEARTLAND OCCUPATIONAL MEDICINE PHYSICIANS OF ILLINOIS S C","authorised_official":"Charles Neal"},"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":"036079719"}]},"addresses":[{"purpose":"LOCATION","street_1":"4117 S WATER TOWER PL","city":"MOUNT VERNON","state":"IL","postal_code":"628646293","country_code":"US","street_2":"SUITE D","phone":"6182424848","fax":"6182424198"},{"purpose":"MAILING","street_1":"4117 S WATER TOWER PL","city":"MOUNT VERNON","state":"IL","postal_code":"628646293","country_code":"US","street_2":"SUITE D","phone":"6182424848","fax":"6182424198"}],"license":{"state":"IL","number":"036079719"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040719000859","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"1153300553"}]},"enumeration_date":"2006-03-14","last_updated":"2016-02-12","_meta":{"source":"NPPES","snapshot_date":"2016-02-12","doc_url":"https://findmynpi.com/api"}}