{"npi":"1952765232","type":"NPI-2","status":"active","name":{"display":"Roosevelt Road Clinic MD Sc","other":[],"organization_name":"ROOSEVELT ROAD CLINIC MD SC","authorised_official":"Subarna Pradhan"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"IL","license":"036056560"}]},"addresses":[{"purpose":"LOCATION","street_1":"3600 W ROOSEVELT RD","city":"CHICAGO","state":"IL","postal_code":"606244225","country_code":"US","phone":"7736386761","fax":"7736386984"},{"purpose":"MAILING","street_1":"3600 W ROOSEVELT RD","city":"CHICAGO","state":"IL","postal_code":"606244225","country_code":"US","phone":"7736386761","fax":"7736386984"}],"license":{"state":"IL","number":"036056560"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036056560","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"636231","state":"IL","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-04-12","last_updated":"2016-04-12","_meta":{"source":"NPPES","snapshot_date":"2016-04-12","doc_url":"https://findmynpi.com/api"}}