Physician Compare National (NPI:1033157292)

HEALTHCARE PROVIDER: ALFRED NELLO ROSSI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033157292
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416999842
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080711000550
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSSI
	Individual professional last name
Provider First Name	ALFRED
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CHICAGO COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GENERAL PRACTICE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE, GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	107 TREMONT ST
	Group Practice or individual's line 1 address
City	HOPEDALE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	617477525
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	141330
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOPEDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140067
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OSF SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140120
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PEKIN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y