{"npi":"1760909287","type":"NPI-1","status":"active","name":{"display":"Samuel Ortega CRNA","other":[],"first":"SAMUEL","last":"ORTEGA","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"IL","license":"041363873"}]},"addresses":[{"purpose":"LOCATION","street_1":"701 W NORTH AVE","city":"MELROSE PARK","state":"IL","postal_code":"601601612","country_code":"US","phone":"7086813200"},{"purpose":"MAILING","street_1":"6004 S MAJOR AVE","city":"CHICAGO","state":"IL","postal_code":"606384510","country_code":"US","phone":"7086994403"}],"license":{"state":"IL","number":"041363873"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180219000768","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IL","pac_id":"0648531467"},{"enrlmt_id":"I20211004000867","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IN","pac_id":"0648531467"}]},"enumeration_date":"2017-08-25","last_updated":"2017-08-25","_meta":{"source":"NPPES","snapshot_date":"2017-08-25","doc_url":"https://findmynpi.com/api"}}