Physician Compare National (NPI:1306933320)

HEALTHCARE PROVIDER: THOMAS STEPHEN FLACH DO

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

Individual Professional Information
NPI	1306933320
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234150418
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100331001238
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FLACH
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	512 HILLGROVE AVE
	Group Practice or individual's line 1 address
City	WESTERN SPRINGS
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605581442
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST LA GRANGE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140122
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HINSDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140276
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LOYOLA UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y