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Physician Compare National (NPI:1255366191)

HEALTHCARE PROVIDER: GEORGE SIANIS 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 1255366191
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1153378369
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050401000013
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SIANIS
Individual professional last name
Provider First Name GEORGE
Individual professional first name
Provider Middle Name J
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 1973
Individual professional's medical school graduation year
Primary Specialty GENERAL PRACTICE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 6374 N LINCOLN AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 301
Group Practice or individual's line 2 address
City CHICAGO
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 606591283
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 140114
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SWEDISH COVENANT HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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