Physician Compare National (NPI:1417920232)

HEALTHCARE PROVIDER: GENE C CHENG 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	1417920232
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880685999
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040520000779
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHENG
	Individual professional last name
Provider First Name	GENE
	Individual professional first name
Provider Middle Name	C
	Individual professional middle 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	1984
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5401 N KNOXVILLE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 414
	Group Practice or individual's line 2 address
City	PEORIA
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	616145021
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROCTOR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140209
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST MEDICAL CENTER OF ILLINOIS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140067
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OSF SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140120
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PEKIN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	141325
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	OSF SAINT LUKES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1417920232)

HEALTHCARE PROVIDER: GENE C CHENG M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information