{"npi":"1891827655","type":"NPI-2","status":"active","name":{"display":"Dwb Human Services INC","other":[],"organization_name":"DWB HUMAN SERVICES INC","authorised_official":"Dianna Bolen"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":"IL","license":"071-006419"}]},"addresses":[{"purpose":"LOCATION","street_1":"4350 N HERMITAGE AVE","city":"CHICAGO","state":"IL","postal_code":"606131106","country_code":"US","phone":"7733279356","fax":"7733488220"},{"purpose":"MAILING","street_1":"4350 N HERMITAGE AVE","city":"CHICAGO","state":"IL","postal_code":"606131106","country_code":"US","phone":"7733279356","fax":"7733488220"}],"license":{"state":"IL","number":"071-006419"},"identifiers":[{"type_code":"01","label":"Other","value":"01632869","state":"IL","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090701000050","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"8729139894"}]},"enumeration_date":"2007-03-09","last_updated":"2009-06-29","_meta":{"source":"NPPES","snapshot_date":"2009-06-29","doc_url":"https://findmynpi.com/api"}}