Physician Compare National (NPI:1205003142)

HEALTHCARE PROVIDER: BENJAMIN A FEINZIMER D.O.

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

Individual Professional Information
NPI	1205003142
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375712672
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111209000629
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FEINZIMER
	Individual professional last name
Provider First Name	BENJAMIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTH SHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
	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	2163334699
	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	1261
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7900 ROLLINS RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	GURNEE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600311512
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	141343
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CRAWFORD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	141318
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OSF HOLY FAMILY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150056
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	140064
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1205003142)

HEALTHCARE PROVIDER: BENJAMIN A FEINZIMER D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information