Physician Compare National (NPI:1275627499)

HEALTHCARE PROVIDER: MARIBETH ONEIL LCSW

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

Individual Professional Information
NPI	1275627499
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234398827
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120319000317
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ONEIL
	Individual professional last name
Provider First Name	MARIBETH
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4250 N MARINE DR UNIT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 804
	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	606131724
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y