{"npi":"1871722751","type":"NPI-1","status":"active","name":{"display":"Adree Venatta MD","other":[],"first":"ADREE","last":"VENATTA","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":"036131255"}]},"addresses":[{"purpose":"LOCATION","street_1":"168 COURTYARD SQUARE","city":"TOLEDO","state":"IL","postal_code":"62468","country_code":"US","street_2":"SBL TOLEDO CLINIC","phone":"2178493151","fax":"2178493123"},{"purpose":"MAILING","street_1":"1005 HEALTH CENTER DR STE 201","city":"MATTOON","state":"IL","postal_code":"619384693","country_code":"US","phone":"2172386055","fax":"2172582216"}],"license":{"state":"IL","number":"036131255"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036131255001","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130121000208","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IL","pac_id":"5991958142"}]},"enumeration_date":"2009-07-13","last_updated":"2020-02-05","_meta":{"source":"NPPES","snapshot_date":"2020-02-05","doc_url":"https://findmynpi.com/api"}}