Physician Compare National (NPI:1215225859)

HEALTHCARE PROVIDER: MELINDA M ECKHORN AU.D.

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

Individual Professional Information
NPI	1215225859
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537321740
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120504000540
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ECKHORN
	Individual professional last name
Provider First Name	MELINDA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ADVENTIST HEALTH PARTNERS INC
	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	0244135762
	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	169
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	15724 S ROUTE 59
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	PLAINFIELD
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605442806
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y