Physician Compare National (NPI:1477578631)

HEALTHCARE PROVIDER: CHARLES MYLAN CHUMAN SR. 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	1477578631
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608903299
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100430000372
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHUMAN
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	MYLAN
	Individual professional middle name
Provider Name Suffix Text	SR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	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	1973
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9301 CONNECTICUT DR
	Group Practice or individual's line 1 address
City	CROWN POINT
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463077486
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2197562100
	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	150126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FRANCISCAN HEALTH CROWN POINT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150166
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PINNACLE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150034
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARY MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y