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Physician Compare National (NPI:1174574222)

HEALTHCARE PROVIDER: SYED AKBAR 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 1174574222
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2769459676
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040910001113
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name AKBAR
Individual professional last name
Provider First Name SYED
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.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1996
Individual professional's medical school graduation year
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC
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 5294639407
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 50
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1709 MIDWEST CLUB PKWY
Group Practice or individual's line 1 address
City OAK BROOK
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 605232587
Group Practice or individual's zip code (9 digits when available)
Phone Number 8556877237
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 330259
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MERCY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 330332
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 CHSLI ST JOSEPH HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 140029
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 COPLEY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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