Physician Compare National (NPI:1255644779)

HEALTHCARE PROVIDER: AMEER ALWAFAI M.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	1255644779
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901190362
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160808000829
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AL WAFAI
	Individual professional last name
Provider First Name	AMEER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EDWARD HEALTH VENTURES
	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	4284531484
	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	377
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	120 SPALDING DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	NAPERVILLE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605406599
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6305277730
	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	140258
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALEXIAN BROTHERS MEDICAL CENTER 1
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140117
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PRESENCE RESURRECTION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140252
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHWEST COMMUNITY HOSPITAL 1
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140231
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	EDWARD HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	140202
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ADVOCATE CONDELL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1255644779)

HEALTHCARE PROVIDER: AMEER ALWAFAI M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information