Physician Compare National (NPI:1447623285)

HEALTHCARE PROVIDER: JEANETTE DEMARSHIMUN

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

Individual Professional Information
NPI	1447623285
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426350695
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160105001084
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEMARSHIMUN
	Individual professional last name
Provider First Name	JEANETTE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	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	10526 W CERMARK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 117
	Group Practice or individual's line 2 address
City	WESTCHESTER
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	60154
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y