{"npi":"1811988520","type":"NPI-1","status":"active","name":{"display":"Navaneet Chailerborisuth MD, PHD","other":[],"first":"NAVANEET","last":"CHAILERBORISUTH","middle":"S","credential":"MD, PHD"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"IA","license":"32999"},{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"IL","license":"036-097565"}]},"addresses":[{"purpose":"LOCATION","street_1":"4600 30TH ST","city":"ROCK ISLAND","state":"IL","postal_code":"612017038","country_code":"US","phone":"3097885524","fax":"3097889550"},{"purpose":"MAILING","street_1":"4600 30TH ST","city":"ROCK ISLAND","state":"IL","postal_code":"612017038","country_code":"US","phone":"3097885524","fax":"3097889550"}],"license":{"state":"IL","number":"036-097565"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1525816","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"036097565","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050720001085","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"IL","pac_id":"3173569910"},{"enrlmt_id":"I20100811000247","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"IA","pac_id":"3173569910"}]},"enumeration_date":"2005-11-02","last_updated":"2010-06-15","_meta":{"source":"NPPES","snapshot_date":"2010-06-15","doc_url":"https://findmynpi.com/api"}}