Physician Compare National (NPI:1295724748)

HEALTHCARE PROVIDER: LILIANE K YACOUB 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	1295724748
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052446689
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100320000204
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YACOUB
	Individual professional last name
Provider First Name	LILIANE
	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	1987
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTH WORCESTER GASTROENTEROLOGY, P.C.
	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	7113069899
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	105 ERDMAN WAY
	Group Practice or individual's line 1 address
City	LEOMINSTER
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	014531805
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9784667800
	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	220080
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLY FAMILY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	220020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT ANNE'S HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	220017
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CARNEY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	220036
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST ELIZABETH'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	220098
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	NASHOBA VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1295724748)

HEALTHCARE PROVIDER: LILIANE K YACOUB MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information