Physician Compare National (NPI:1083003552)

HEALTHCARE PROVIDER: JERILYN FREEMAN AGNP-C

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

Individual Professional Information
NPI	1083003552
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648595678
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150213000771
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCDERMED
	Individual professional last name
Provider First Name	JERILYN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LOUAY K. SABIH LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022295583
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6460 N COSBY AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	WEXFORD PLACE
	Group Practice or individual's line 2 address
City	KANSAS CITY
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	641512301
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9133414000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y