Physician Compare National (NPI:1063442051)

HEALTHCARE PROVIDER: DANIEL CHA 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	1063442051
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082627492
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060731000436
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHA
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	TAEJUNE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4711 GOLF RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1075
	Group Practice or individual's line 2 address
City	SKOKIE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600761272
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150190
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150188
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150187
	Medicare CCN of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y