Physician Compare National (NPI:1154459246)

HEALTHCARE PROVIDER: SANGINI DINESH PATEL PAC

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

Individual Professional Information
NPI	1154459246
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395017388
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170825002514
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	SANGINI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ILLINOIS DERMATOLOGY INSTITUTE 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	7911043054
	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	37
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9711 SKOKIE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE J
	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	600771384
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8476759711
	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