{
  "npi": "1740209972",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "PHILLIP",
    "authorized_official_last_name": "EPSTEIN",
    "authorized_official_middle_name": "S",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2246760547",
    "authorized_official_title_or_position": "Owner.President",
    "enumeration_date": "2006-07-19",
    "last_updated": "2014-01-22",
    "organization_name": "ADVANCED NEURO DIAGNOSTICS LTD",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "350 E DUNDEE RD",
      "address_2": "SUITE 315",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WHEELING",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "224-676-0564",
      "postal_code": "600903192",
      "state": "IL",
      "telephone_number": "224-676-0547"
    },
    {
      "address_1": "350 E DUNDEE RD",
      "address_2": "SUITE 315",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WHEELING",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "224-676-0564",
      "postal_code": "600903192",
      "state": "IL",
      "telephone_number": "224-676-0547"
    }
  ],
  "taxonomies": [
    {
      "code": "2084N0400X",
      "desc": "Psychiatry & Neurology, Neurology",
      "license": "3639168",
      "primary": true,
      "state": "IL",
      "taxonomy_group": "193400000X - Single Specialty 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": "Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "13",
        "medicare_type": "Physician/Neurology"
      },
      {
        "medicare_code": "86",
        "medicare_type": "Physician/Neuropsychiatry"
      }
    ]
  }
}