Physician Compare National (NPI:1477653111)

HEALTHCARE PROVIDER: ADRIENNE FREGIA 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	1477653111
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951330406
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080403000032
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FREGIA
	Individual professional last name
Provider First Name	ADRIENNE
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SPECIALTY PHYSICIANS OF ILLINOIS LLC
	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	4183529456
	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	56
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3700 W 203RD ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	OLYMPIA FIELDS
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604611182
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140172
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140191
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INGALLS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y