{
  "npi": "1417964370",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-09-26",
    "credential": "MD",
    "enumeration_date": "2006-08-02",
    "first_name": "JAWDAT",
    "last_name": "ABBOUD",
    "last_updated": "2022-09-26",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2425 W.22ND STREET #205",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OAK BROOK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "605231934",
      "state": "IL",
      "telephone_number": "630-974-1400"
    },
    {
      "address_1": "2425 W. 22ND ST. #205",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "OAK BROOK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "188-846-6332",
      "postal_code": "605231934",
      "state": "IL",
      "telephone_number": "630-974-1400"
    }
  ],
  "taxonomies": [
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": "036087208",
      "primary": true,
      "state": "IL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}