{"npi":"1801809322","type":"NPI-1","status":"active","name":{"display":"Mary Uckerman MD","other":[],"first":"MARY","last":"UCKERMAN","middle":"THERESE","credential":"MD"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZP0105X","description":"Clinical Pathology/Laboratory Medicine Physician","primary":false,"state":"IL","license":"036087252"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"IL","license":"036087252"}]},"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":"701 W NORTH AVE","city":"MELROSE PARK","state":"IL","postal_code":"601601612","country_code":"US"}],"license":{"state":"IL","number":"036087252"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036087252","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"01623819","state":"IL","issuer":"BLUE SHIELD ILLINOIS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040922000980","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"IL","pac_id":"6709854128"}]},"enumeration_date":"2006-08-14","last_updated":"2023-09-05","_meta":{"source":"NPPES","snapshot_date":"2023-09-05","doc_url":"https://findmynpi.com/api"}}