Physician Compare National (NPI:1275520959)

HEALTHCARE PROVIDER: YOGINDER KUMAR 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	1275520959
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143279869
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050119000884
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KUMAR
	Individual professional last name
Provider First Name	YOGINDER
	Individual professional first 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	1977
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ENDOCRINOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ENDOCRINOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2504 WASHINGTON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	WAUKEGAN
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600854960
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8472446800
	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	140084
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VISTA MEDICAL CENTER EAST
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140202
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVOCATE CONDELL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y