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Physician Compare National (NPI:1144395849)

HEALTHCARE PROVIDER: DANAIL VATEV 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 1144395849
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9830142058
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101201000248
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VATEV
Individual professional last name
Provider First Name DANAIL
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9518 FRANKLIN AVE
Group Practice or individual's line 1 address
City FRANKLIN PARK
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 601312705
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 140251
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 COMMUNITY FIRST MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 140117
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 PRESENCE RESURRECTION MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 140008
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 GOTTLIEB MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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