Physician Compare National (NPI:1104811223)

HEALTHCARE PROVIDER: DARRYL A STERN M.D.

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

Individual Professional Information
NPI	1104811223
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385796614
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090717000454
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STERN
	Individual professional last name
Provider First Name	DARRYL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	9669 KENTON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	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	600761227
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8476770212
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140080
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PRESENCE SAINT FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y