Physician Compare National (NPI:1154511335)

HEALTHCARE PROVIDER: HELENA Z SAGALOVSKY 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	1154511335
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173668282
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100301000457
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAGALOVSKY
	Individual professional last name
Provider First Name	HELENA
	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	1978
	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	521 E 86TH AVE C
	Group Practice or individual's line 1 address
City	MERRILLVILLE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	464106236
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2197560937
	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	140242
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTRAL DUPAGE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150126
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FRANCISCAN HEALTH CROWN POINT
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	METHODIST HOSPITALS INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150125
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y