Physician Compare National (NPI:1194730267)

HEALTHCARE PROVIDER: MING LONG HUNG 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	1194730267
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709810203
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091217000151
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUNG
	Individual professional last name
Provider First Name	MING
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	310 N HAMMES AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	JOLIET
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604358146
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140233
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OSF SAINT ANTHONY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140101
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MORRIS HOSPITAL & HEALTHCARE CENTERS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y